Active NPI
Dantal Dental Corporation
- Advanced Practice Dental Therapist
- Mesa, AZ
National Provider Identifier
1134568637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Dental Therapist
- License
- 8139
- 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
- Last updated
- Jun 18, 2013
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Dental Therapist | 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 DirectoryLocations
500 W Southern Ave
Ste 13
Mesa, AZ 85210
Phone (480) 664-1449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Mesa, AZ
- NPI 1881990844
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.