First Impressions Dental Lab, LLC

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

FIRST IMPRESSIONS DENTAL LAB, LLC

Practice address

660 N Neely St Ste 10
Gilbert, AZ 85233-3825

Phone

(480) 545-1460

Fax

(480) 545-1430

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

George Thompson

Title

Owner

Phone

(480) 545-1460

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1912556804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N NEELY ST STE 10",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333825",
            "telephone_number": "480-545-1460",
            "fax_number": "480-545-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N NEELY ST STE 10",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333825",
            "telephone_number": "480-545-1460",
            "fax_number": "480-545-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSIONS DENTAL LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-545-1460"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.