Horizon Dental Group New River

Organization Active NPI Dentist · New River, AZ

NPI 1770015992 · NPPES record last updated Mar 28, 2017

Key facts

NPI
1770015992
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
D5634 (AZ)
Legal business name
HORIZON DENTAL GROUP NEW RIVER
Practice address
46641 N Black Canyon Hwy Ste 7
New River, AZ 85087-6941
Phone
(623) 742-7220
Fax
(928) 458-7090
NPI assigned
Mar 28, 2017
Organization subpart
No

Authorized official

Name
Dr. Mark Costes, DDS NPI 1932399680
Title
Owner/ Dentist
Phone
(928) 636-1565

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

Practitioners 4

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
122300000X D5634 AZ Yes
Dentist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
122300000X D008994 AZ

Addresses

Primary practice location

46641 N Black Canyon Hwy Ste 7
New River, AZ 85087-6941

Mailing address

46641 N Black Canyon Hwy Ste 7
New River, AZ 85087-6941
Phone (623) 742-7220

Other providers in New River, AZ

All providers in New River, AZ · Dentist in Arizona

Sources for this page

Verify at the official NPI Registry.