Desert Lake Family Dentistry Inc in Avondale - Dentist
Desert Lake Family Dentistry Inc - NPI 1831301266
Desert Lake Family Dentistry Inc is a Dentist in Avondale, Arizona. Desert Lake Family Dentistry Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Desert Lake Family Dentistry Inc is 1831301266. The last update date is 2020-08-22.
Desert Lake Family Dentistry Inc's current location address is 10750 W Mcdowell Rd, Avondale, Arizona. You can contact this provider via phone number 6233885888 and fax number 6233885904. The mailing address for Desert Lake Family Dentistry Inc is 10750 W Mcdowell Rd, Avondale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Desert Lake Family Dentistry Inc |
|---|---|
| Address | 10750 W Mcdowell Rd, Avondale, Arizona |
| Phone Number | 6233885888 |
| Fax Number | 6233885904 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shayegan Adel |
| Credentials | DMD |
| Telephone Number | 6233885888 |
NPI Number Detail
| NPI Number | 1831301266 |
|---|---|
| Provider Enumeration Date | 2007-05-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10750 W Mcdowell Rd |
|---|---|
| City | Avondale |
| State | Arizona (AZ) |
| Post Code | 853235960 |
| Phone Number | 6233885888 |
| Fax Number | 6233885904 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4772 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the Desert Lake Family Dentistry Inc's 1831301266?
The Desert Lake Family Dentistry Inc's NPI (National Provider Identifier) Number is 1831301266. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Desert Lake Family Dentistry Inc located?
The Desert Lake Family Dentistry Inc is located at 10750 W Mcdowell Rd, Avondale, AZ 853235960.
What is Desert Lake Family Dentistry Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Desert Lake Family Dentistry Inc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date was the 1831301266 assigned to Desert Lake Family Dentistry Inc?
The Desert Lake Family Dentistry Inc was issued its 1831301266 on 2007-05-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Desert Lake Family Dentistry Inc most recently updated or revised?
The details related to Desert Lake Family Dentistry Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.