Delicate Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5625 Issued in AZ

Legal business name

DELICATE DENTAL LLC

Practice address

44480 W Honeycutt Ave Ste 110
Maricopa, AZ 85238-2909

Phone

(520) 568-9100

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Jared Pope I, DDS

Title

Owner

Phone

(520) 568-9100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1386895183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT AVE STE 109",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852382909",
            "telephone_number": "520-568-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44480 W HONEYCUTT AVE STE 110",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "852382909",
            "telephone_number": "520-568-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELICATE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-568-9100",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "5625",
            "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 Oct 10, 2008; 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.