NPIMap

Organization Active NPI

My Dental L.L.C.

  • General Practice Physician
  • Avondale, AZ
National Provider Identifier
1831675263
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MY DENTAL L.L.C.
Doing business as
My Dental L.L.C.
Practice address
725 N Central Ave Ste 109
Avondale, AZ 85323-1659
Phone
(623) 322-4575
Fax
(623) 322-4312
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Authorized official

Name
Dr. Youil G. Mamook, D.D.S.NPI 1215926613
Title
Dr./Owner
Phone
(480) 388-7049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

725 N Central Ave Ste 109
Avondale, AZ 85323-1659

Mailing address

2001 W Bethany Home Rd
Phoenix, AZ 85015-2471
Phone (602) 249-9621

Other names 1

  • MY DENTAL L.L.C. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1831675263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152471",
            "telephone_number": "602-249-9621",
            "fax_number": "602-841-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N CENTRAL AVE STE 109",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231659",
            "telephone_number": "623-322-4575",
            "fax_number": "623-322-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "MAMOOK",
        "authorized_official_first_name": "YOUIL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "480-388-7049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MY DENTAL L.L.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.