CLARA P FAJARDO DDS PC NPI 1336318526

NPI Information

NPI: 1336318526
Provider Name: CLARA P FAJARDO DDS PC

Former Legal Business Name: CLARA P FAJARDO DDS PC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
18818 N 99TH AVE
SUN CITY, AZ
ZIP 85373
Phone: (623) 815-0512
Get Directions

CLARA P FAJARDO DDS PC is a dental clinic center in Sun City, AZ. CLARA P FAJARDO DDS PC NPI is 1336318526. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Clara P Fajardo Dds Pc.

The provider's business location address is:

18818 N 99TH AVE
SUN CITY, AZ
ZIP 85373-431
Phone: (623) 815-0512

The provider's authorized official is Clara Patricia Fajardo .
The authorized official title is Dentist and has the following contact phone number (623) 815-0513.

The enumeration date for this NPI number is 2/21/2008 and was last updated on 2/21/2008.

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
1	261QD0000X	Clinic/Center	Dental	07640102J	ARIZONA	Yes

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
1	1386858702	OTHER	ARIZONA	NPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »