MNM Dental Studio PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

D6611 Issued in AZ

Legal business name

MNM DENTAL STUDIO PLLC

Practice address

13933 W Grand Ave
Suite #302
Surprise, AZ 85374-2435

Phone

(623) 209-0012

Fax

(623) 537-9184

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Nicole Bolio

Title

Insurance Coordinator/Receptionist

Phone

(623) 209-0012

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.

• Stephanie Mashni, DDS

  • Dentist
  • Surprise, AZ
  • NPI 1730355041
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1669647996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13933 W GRAND AVE",
            "address_2": "SUITE #302",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742435",
            "telephone_number": "623-209-0012",
            "fax_number": "623-537-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13933 W GRAND AVE",
            "address_2": "SUITE #302",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742435",
            "telephone_number": "623-209-0012",
            "fax_number": "623-537-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "BOLIO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR/RECEPTIONIST",
        "authorized_official_telephone_number": "623-209-0012"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Charles Mirarchi, MPT, CRED. MDT, CSCS
• Biljana Mitanoski, PHARM. D
• Aaron M Mitchell
• Abigail Mitroff, PA-C
• Daniel Joseph Mizell, PA-C
• Moahk Behavioral Home LLC (none)
• Moc Surprise, LLC (Rapid Recovery From Mainstreet Health)
• Modern Sports Medicine LLC
• Modern Vascular of Sun City, LLC
• Melissa Faye Moget, OTD, OTR/L

• Dentist in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.