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Arizona Dental Professionals, P.C.

Organization Active NPI General Practice Dentistry · Mesa, AZ

NPI 1780995159 · NPPES record last updated Feb 4, 2014

Key facts

NPI
1780995159
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Practice address
5432 E Southern Ave Ste 108
Mesa, AZ 85206-2772
Phone
(480) 807-8100
Fax
(480) 325-8014
NPI assigned
Jun 30, 2010
Organization subpart
Yes
Parent organization (as reported)
ARIZONA DENTAL PROFESSIONALS, P.C.

Authorized official

Name
Carmen Woods
Title
Insurance Coordinator
Phone
(217) 540-5100

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Arizona Dental Professionals PC (63 organizations share this tax ID)
Part of
Arizona Dental Professionals PC

Locations

5432 E Southern Ave
Ste 108
Mesa, AZ 85206
Phone (480) 210-3336

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

5432 E Southern Ave Ste 108
Mesa, AZ 85206-2772

Mailing address

5432 E Southern Ave Ste 108
Mesa, AZ 85206-2772
Phone (480) 807-8100

Other names

  • Smiles on Southern Doing business as

Other providers in Mesa, AZ

All providers in Mesa, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.