AZ DENTIST LLC NPI 1053198853

NPI Information

NPI: 1053198853
Provider Name: AZ DENTIST LLC

Doing Business As: 1ST CLASSIC DENTAL

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
13203 N 103RD AVE STE G1
SUN CITY, AZ
ZIP 85351
Phone: (623) 974-6660
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AZ DENTIST LLC is a multi-specialty clinic center in Sun City, AZ. AZ DENTIST LLC NPI is 1053198853. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 1st Classic Dental.

The provider's business location address is:

13203 N 103RD AVE STE G1
SUN CITY, AZ
ZIP 85351-015
Phone: (623) 974-6660

The provider's authorized official is Janne Marjorie Lynch .
The authorized official title is Owner and has the following contact phone number (480) 279-3700.

The enumeration date for this NPI number is 9/13/2023 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207L00000X	Anesthesiology		No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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