Primero Dental Services PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PRIMERO DENTAL SERVICES PLLC

Practice address

6749 W Bethany Home Rd
Suite 102
Glendale, AZ 85303-4444

Phone

(623) 849-1356

Fax

(623) 849-1724

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Thanh V Du, DDS

Title

Member

Phone

(623) 849-1356

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christina Habib

  • Dentist
  • Phoenix, AZ
  • NPI 1992188809
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1558509869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 N 75TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333728",
            "telephone_number": "623-873-2500",
            "fax_number": "623-849-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 W BETHANY HOME RD",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034444",
            "telephone_number": "623-849-1356",
            "fax_number": "623-849-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERO DENTAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "DU",
        "authorized_official_first_name": "THANH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-849-1356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Prieto, FNP-BC
• Primavera Hospice LLC
• Prime Medhealth LLC
• Primecare Medical Transport
• Primegyn Womens Center PLLC
• Pristine Hospice LLC
• Larry J Pristo, PH.D.
• Lavaya Pristo
• Pro Sleep Testing (Arrowhead Pro Sleep)
• Kristi Proch, LAC

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.