Active NPI
Dental Partners Tempe LLC
- Dental Clinic/Center
- Tempe, AZ
National Provider Identifier
1952051104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DENTAL PARTNERS TEMPE LLC
- Doing business as
- Comfort Dental Tempe
- Practice address
- 1700 E Elliot Rd
Tempe, AZ 85284-1630 - Phone
- (480) 674-6060
- Fax
- (480) 674-6070
- NPI assigned
- Mar 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Justin Van Dusen, DMD
- Title
- Owner
- Phone
- (949) 378-5967
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1700 E Elliot Rd
Tempe, AZ 85284-1630
Mailing address
1130 S Country Club Dr Ste 101
Mesa, AZ 85210-4639
Other names 1
- Comfort Dental Tempe
National Provider Directory
National Provider DirectoryLocations
1700 E Elliot Rd
Tempe, AZ 85284
Phone (480) 674-6060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648425600000",
"number": "1952051104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 S COUNTRY CLUB DR STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852104639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 E ELLIOT RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841630",
"telephone_number": "480-674-6060",
"fax_number": "480-674-6070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL PARTNERS TEMPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A",
"authorized_official_last_name": "VAN DUSEN",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-378-5967",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comfort Dental Tempe",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.