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SOHO- SENIOR ORAL HEALTH OUTREACH NPI 1366988404


NPI Information

NPI: 1366988404
Provider Name: SOHO- SENIOR ORAL HEALTH OUTREACH

Doing Business As: SOHO- SPECIAL ORAL HEALTH OUTREACH

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
4901 N 44TH ST
SUITE 102
PHOENIX, AZ
ZIP 85018
Phone: (480) 779-0227
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SOHO- SENIOR ORAL HEALTH OUTREACH is a dental public health dentist in Phoenix, AZ. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. SOHO- SENIOR ORAL HEALTH OUTREACH NPI is 1366988404. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Soho- Special Oral Health Outreach.

The provider's business location address is:

4901 N 44TH ST
SUITE 102
PHOENIX, AZ
ZIP 85018-782
Phone: (480) 779-0227

The provider's authorized official is Stefanie Hourani .
The authorized official title is Director and has the following contact phone number (402) 650-0686.

The enumeration date for this NPI number is 1/12/2017 and was last updated on 1/12/2017.


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
11223D0001XDentistDental Public HealthD08533ARIZONAYes
21223P0221XDentistPediatric DentistryD08533ARIZONANo
3261QD0000XClinic/CenterDentalD08533ARIZONANo

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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