My Dental L.L.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

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

Organization subpart

No

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.

Title

Dr./Owner

Phone

(480) 388-7049

Specialties & licenses 1

Addresses

Other names 1

• MY DENTAL L.L.C. Doing business as

Practitioners 1

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

• Shana K Khamis, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1255945002
  NPD (past)

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"
        }
    ]
}

• Gabriel Murillo Nader, M.D.
• Alycia Murillo
• Latoya C Murphy, PMHNP-BC, DNP
• Lorne William Murray, MD
• Latif Adeyemi Mustapha, NP
• Myeyedr Optometry of Washington, PLLC
• Sargon Nadirsha, PHARMD
• Koushik Nag, DO
• Govardhanan Nagaiah, MD
• Alain Pierre Nahimana

• General Practice Physician in Avondale, AZ
• Providers in Avondale, AZ by specialty
• General Practice Physician in Arizona

• 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.