Morenci Dental PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MORENCI DENTAL PLC

Doing business as

Morenci Dental PLC

Practice address

106 Plaza Loop
Suite 11
Morenci, AZ 85540

Phone

(928) 865-2332

Fax

(928) 865-1218

NPI assigned

Sep 1, 2023

Last updated

Sep 1, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leo Benjamin Christensen, DDSNPI 1396064895

Title

Owner

Phone

(480) 964-2131

Specialties & licenses 1

Addresses

Other names 1

• Morenci Dental PLC Doing business as

Practitioners 1

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.

• Leo B Christensen, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1396064895
  Authorized official Same address or phone

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1891571253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N STAPLEY DR STE 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037320",
            "telephone_number": "480-964-2131",
            "fax_number": "480-964-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA LOOP",
            "address_2": "SUITE 11",
            "city": "MORENCI",
            "state": "AZ",
            "postal_code": "85540",
            "telephone_number": "928-865-2332",
            "fax_number": "928-865-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORENCI DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-964-2131",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morenci Dental PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olegario Llamas
• Tiffany Llamas
• Angelica Lee Luiz, PA-C
• Jonathan H Manwaring, DO
• Guadalupe Delene Mesa, PTA
• Gerald Lawrence Muncy Sr., DDS
• Germaine Ong, MD
• Daniel C Regoso, MD
• Mark Ian Roberts, MD
• Ang Kaji Sherpa, MD

• Dental Clinic/Center in Morenci, AZ
• Providers in Morenci, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.