Advanced Dental Health P.C.

Key facts

NPI

1285844522

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Dentistry 1223G0001X

Legal business name

ADVANCED DENTAL HEALTH P.C.

Practice address

4350 E Ray Road, Suite 105
Phoenix, AZ 85044

Phone

(480) 783-7192

Fax

(480) 783-7193

NPI assigned

May 23, 2007

Organization subpart

No

Authorized official

Name

Shelly Jean Hasch

Title

President

Phone

(480) 783-7192

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Howard S Snider, DMD General Practice Dentistry · Phoenix, AZ · NPI 1184684607
  NPD (past) GENERAL PRACTICE

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 5, 2020.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1285844522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 E RAY ROAD, SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-783-7192",
            "fax_number": "480-783-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 E RAY ROAD, SUITE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85044",
            "telephone_number": "480-783-7192",
            "fax_number": "480-783-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "HASCH",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-783-7192"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Advanced Clinical Laboratories, LLC
• Advanced Clinical Practitioners, LLC
• Advanced Comprehensive Home Health Care LLC
• Advanced Comprehensive Palliative and Hospice LLC
• Advanced Dental Group, Inc.
• Advanced Diagnostic Center, Inc.
• Advanced Diagnostic Labs Inc
• Advanced Diagnostic Labs LLC
• Advanced Ear Nose and Throat Associates PC
• Advanced Endocrinology and Metabolism, P.C.

All providers in Phoenix, AZ · General Practice Dentistry in Arizona