Arizona Mini Dental Implant Centers at Sun City Communities, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3008 Issued in AZ

Legal business name

ARIZONA MINI DENTAL IMPLANT CENTERS AT SUN CITY COMMUNITIES, LLC

Practice address

14239 W Bell Rd
Suite 220
Surprise, AZ 85374-2469

Phone

(623) 518-2686

Fax

(623) 518-2875

NPI assigned

Sep 25, 2012

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert O. Caseldine, DDS

Title

Owner

Phone

(623) 518-2686

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1265783682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14239 W BELL RD",
            "address_2": "SUITE 220",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742469",
            "telephone_number": "623-518-2686",
            "fax_number": "623-518-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14239 W BELL RD",
            "address_2": "SUITE 220",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742469",
            "telephone_number": "623-518-2686",
            "fax_number": "623-518-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MINI DENTAL IMPLANT CENTERS AT SUN CITY COMMUNITIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "CASELDINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-518-2686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3008",
            "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 Sep 25, 2012; 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.