PWR Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PWR DENTAL, LLC

Practice address

1545 S Power Rd Ste 112
Mesa, AZ 85206-3736

Phone

(802) 922-8486

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Amy Lecuyer, RDH

Title

Owner/RDH

Phone

(802) 922-8486

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1154016467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20071 E ESCALANTE RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429815",
            "telephone_number": "802-922-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S POWER RD STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063736",
            "telephone_number": "802-922-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWR DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "LECUYER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/RDH",
        "authorized_official_telephone_number": "802-922-8486",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.