Especialidades Dentales LTD.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2628 Issued in AZ

Legal business name

ESPECIALIDADES DENTALES LTD.

Practice address

4008 N 33Rd Ave
Phoenix, AZ 85017-4510

Phone

(602) 266-9659

Fax

(602) 266-8275

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Uttam B. Prajapati, D.D.S.

Title

Owner Dentist

Phone

(602) 266-9659

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356555320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174510",
            "telephone_number": "602-266-9659",
            "fax_number": "602-266-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850174510",
            "telephone_number": "602-266-9659",
            "fax_number": "602-266-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESPECIALIDADES DENTALES LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "UTTAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "602-266-9659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2628",
            "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 Aug 22, 2020; 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.