NPIMap

Organization Active NPI

Dantal Dental Two Corporation

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1710342035
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008536 Issued in AZ
Legal business name
DANTAL DENTAL TWO CORPORATION
Doing business as
DENTAL BROTHERS OF PHOENIX
Practice address
12414 N 28TH Dr
Suite 1
Phoenix, AZ 85029-2488
Phone
(602) 993-0670
NPI assigned
Dec 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Dr. Tal S Gafni, D.M.D.NPI 1497000764
Title
President
Phone
(602) 432-4250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X D008536 AZ Primary

Addresses

Primary practice location

12414 N 28TH Dr
Suite 1
Phoenix, AZ 85029-2488

Mailing address

12414 N 28TH Dr
Suite 1
Phoenix, AZ 85029-2488
Phone (602) 993-0670

Other names 1

  • DENTAL BROTHERS OF PHOENIX Doing business as

National Provider Directory

National Provider Directory

Locations

12414 N 28th Dr
Ste 1
Phoenix, AZ 85029
Phone (602) 993-0670

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1710342035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12414 N 28TH DR",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292488",
            "telephone_number": "602-993-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 N 28TH DR",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292488",
            "telephone_number": "602-993-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANTAL DENTAL TWO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "GAFNI",
        "authorized_official_first_name": "TAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-432-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTAL BROTHERS OF PHOENIX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.