Black Canyon City Dentistry Llc in Black Canyon City - Dentist
Black Canyon City Dentistry Llc - NPI 1639380363
Black Canyon City Dentistry Llc is a Dentist in Black Canyon City, Arizona. Black Canyon City Dentistry Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Black Canyon City Dentistry Llc is 1639380363. The last update date is 2020-08-22.
Black Canyon City Dentistry Llc's current location address is Po Box #7, Black Canyon City, Arizona. You can contact this provider via phone number 6233740855 and fax number 6233740854. The mailing address for Black Canyon City Dentistry Llc is Po Box #7, Black Canyon City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black Canyon City Dentistry Llc |
|---|---|
| Address | Po Box #7, Black Canyon City, Arizona |
| Phone Number | 6233740855 |
| Fax Number | 6233740854 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jenkins W Eldon |
| Telephone Number | 6233740855 |
NPI Number Detail
| NPI Number | 1639380363 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box #7 |
|---|---|
| City | Black Canyon City |
| State | Arizona (AZ) |
| Post Code | 85324 |
| Phone Number | 6233740855 |
| Fax Number | 6233740854 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5797 |
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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 unique 10-digit identification code assigned to Black Canyon City Dentistry Llc by the Centers for Medicare & Medicaid Services?
The Black Canyon City Dentistry Llc has been issued the NPI (National Provider Identifier) 1639380363, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Black Canyon City Dentistry Llc?
The Black Canyon City Dentistry Llc is physically situated at Po Box #7, in the city of Black Canyon City, state of AZ, with the postal code 85324.
What is Black Canyon City Dentistry Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Black Canyon City Dentistry Llc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When was the Black Canyon City Dentistry Llc's 1639380363 issued?
The Black Canyon City Dentistry Llc's 1639380363 was issued on 2007-05-24.
As of what date were the details related to Black Canyon City Dentistry Llc most recently updated or revised?
The information pertaining to Black Canyon City Dentistry Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.