Organization Active NPI

Dantal Dental Corporation

  • Advanced Practice Dental Therapist
  • Mesa, AZ
National Provider Identifier
1134568637
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice Dental TherapistTaxonomy code 125K00000X
License
8139 Issued in AZ
Legal business name
DANTAL DENTAL CORPORATION
Practice address
500 W Southern Ave
#1-3
Mesa, AZ 85210-5016
Phone
(480) 664-1449
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Dan Moshe Gafni, D.M.D
Title
President
Phone
(480) 664-1449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Dental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 125K00000X 8139 AZ Primary

Addresses

Primary practice location

500 W Southern Ave
#1-3
Mesa, AZ 85210-5016

Mailing address

500 W Southern Ave
#1-3
Mesa, AZ 85210-5016

National Provider Directory

National Provider Directory

Locations

500 W Southern Ave
Ste 13
Mesa, AZ 85210
Phone (480) 664-1449

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1134568637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SOUTHERN AVE",
            "address_2": "#1-3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SOUTHERN AVE",
            "address_2": "#1-3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105016",
            "telephone_number": "480-664-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANTAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "GAFNI",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "MOSHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-664-1449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "AZ",
            "license": "8139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.