Value Dental Centers Goodyear Az, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

VALUE DENTAL CENTERS GOODYEAR AZ, LLC

Practice address

1100 N Estrella Pkwy
Goodyear, AZ 85338-2808

Phone

(480) 626-1755

Fax

(702) 842-4323

NPI assigned

Mar 16, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tracy Tran, MBA/MPH

Title

Director

Phone

(408) 626-1755

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1033650585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382808",
            "telephone_number": "480-626-1755",
            "fax_number": "702-842-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N ESTRELLA PKWY",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382808",
            "telephone_number": "480-626-1755",
            "fax_number": "702-842-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE DENTAL CENTERS GOODYEAR AZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-626-1755",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA/MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.