Dr. Dale D. Lentz

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1715 Issued in AZ

Legal business name

DR. DALE D. LENTZ

Practice address

7350 S McClintock Dr Ste 101
Tempe, AZ 85283-5006

Phone

(480) 838-5675

Fax

(480) 491-3541

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dale D. Lentz, D.D.S.

Title

Owner

Phone

(480) 838-5675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568536084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-5675",
            "fax_number": "480-491-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-5675",
            "fax_number": "480-491-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DALE D. LENTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-838-5675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "1715",
            "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.