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INSPIRED DENTAL PLLC NPI 1154798064


NPI Information

NPI: 1154798064
Provider Name: INSPIRED DENTAL PLLC

Doing Business As: COOLIDGE FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1427 N ARIZONA BLVD
COOLIDGE, AZ
ZIP 85128
Phone: (520) 723-1700
Get Directions

INSPIRED DENTAL PLLC is a general practice dentist in Coolidge, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. INSPIRED DENTAL PLLC NPI is 1154798064. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coolidge Family Dental.

The provider's business location address is:

1427 N ARIZONA BLVD
COOLIDGE, AZ
ZIP 85128-214
Phone: (520) 723-1700
Fax: (520) 723-1702

The provider's authorized official is Christopher Anthony Ballew .
The authorized official title is Owner and has the following contact phone number (520) 723-1700.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.


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 License Number License State Primary
11223G0001XDentistGeneral PracticeD07579ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11134383631OTHERARIZONAPROVIDER NPI
2D07579OTHERARIZONADENTAL LICENCE

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

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