Az Lifetime Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AZ LIFETIME DENTISTRY LLC

Practice address

13065 W McDowell Rd Ste 112
Avondale, AZ 85392-6439

Phone

(623) 455-6958

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gina Michelle Elrod, D.D.S.

Title

Dentist/Owner

Phone

(480) 544-2240

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1841536612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11445 E VIA LINDA STE 2422",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852592655",
            "telephone_number": "480-544-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 W MCDOWELL RD STE 112",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926439",
            "telephone_number": "623-455-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ LIFETIME DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "ELROD",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "480-544-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avondale Van Buren Alf, LLC
• Estefania Ayala Garcia
• Alexis Aycock
• Az Family and Kids Dental Avondale LLC
• Az Life Dentistry, PLLC
• Backed by God
• Jacqueline Badine, RDN
• Jessica Baez Cruz
• Violet Bagirinka
• Dayella Bahe

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.