Mint Dental Care LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MINT DENTAL CARE LLC

Practice address

8258 W Thunderbird Rd Ste 201
Peoria, AZ 85381-4777

Phone

(623) 866-8790

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Eriona Robescu

Title

Owner

Phone

(623) 866-8790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1699318725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8258 W THUNDERBIRD RD STE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814777",
            "telephone_number": "623-866-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8258 W THUNDERBIRD RD STE 201",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814777",
            "telephone_number": "623-866-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBESCU",
        "authorized_official_first_name": "ERIONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-866-8790"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 21, 2019; 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.