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Arizona Dental Professionals, P.C.

Organization Active NPI General Practice Dentistry · Mesa, AZ

NPI 1992214985 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992214985
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Practice address
2658 S Signal Butte Rd
Mesa, AZ 85209-2115
Phone
(480) 867-3903
NPI assigned
Sep 22, 2017
Organization subpart
Yes
Parent organization (as reported)
ARIZONA DENTAL PROFESSIONALS, P.C.

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-8426

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Arizona Dental Professionals PC (63 organizations share this tax ID)
Part of
Arizona Dental Professionals PC

Locations

2658 S Signal Butte Rd
Mesa, AZ 85209
Phone (480) 867-3903

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2658 S Signal Butte Rd
Mesa, AZ 85209-2115

Mailing address

2658 S Signal Butte Rd
Mesa, AZ 85209-2115
Phone (480) 867-3903

Other names

  • Mountain Crest Dental Doing business as

Other providers in Mesa, AZ

All providers in Mesa, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.