Az Dental, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

D6451 Issued in AZ

Legal business name

AZ DENTAL, INC

Practice address

515 N 35TH Ave Ste 122
Phoenix, AZ 85009-3339

Phone

(602) 455-0505

NPI assigned

Aug 21, 2013

Last updated

Aug 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Ngoc Tong, DDSNPI 1639245616

Title

Ceo and Owner

Phone

(602) 455-0505

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, and the practitioner matching its NPPES authorized official.

• Brian Ngoc Tong, DDS

  • Dentist
  • Lake Forest, CA
  • NPI 1639245616
  NPD (past) Authorized official

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1740614189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N 35TH AVE STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093339",
            "telephone_number": "602-455-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 35TH AVE STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093339",
            "telephone_number": "602-455-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "602-455-0505",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Az Center for Change
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• Az Compassionate Care Behavioral & Wellness Clinic LLC
• Az Dental Specialty Group
• Az Family and Kids Dental North LLC (AZ Family and Kids Dental)
• Az Family Dental - Thunderbird LLC
• Az Family Life Counseling Coaching
• Az Family Medicine PLLC
• Az First Home Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.