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
- Title
- Owner/ Dentist
- Phone
- (928) 636-1565
Practitioners 4
-
Mark A Costes, D.D.S.
-
Helen Bishara, DMD
-
Suzy Bishara, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | D5634 | AZ | Yes |
| Dentist |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.