1801 Southern Vista Dental Care in Mesa - Dentist
1801 Southern Vista Dental Care - NPI 1023102183
1801 Southern Vista Dental Care is a Dentist in Mesa, Arizona. 1801 Southern Vista Dental Care practices all healthcare services and medical treatments related to Dentist. The NPI Number for 1801 Southern Vista Dental Care is 1023102183. The last update date is 2020-08-22.
1801 Southern Vista Dental Care's current location address is 1801 E Southern Ave, Mesa, Arizona. You can contact this provider via phone number 4808929000 and fax number 4809260545. The mailing address for 1801 Southern Vista Dental Care is 1801 E Southern Ave, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | 1801 Southern Vista Dental Care |
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Address | 1801 E Southern Ave, Mesa, Arizona |
Phone Number | 4808929000 |
Fax Number | 4809260545 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DIRECT OWN |
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Authorized Official Name | Caffall Chad Elwynn |
Credentials | DDS |
Telephone Number | 4808929000 |
NPI Number Detail
NPI Number | 1023102183 |
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Provider Enumeration Date | 2006-10-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1801 E Southern Ave |
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City | Mesa |
State | Arizona (AZ) |
Post Code | 852045258 |
Phone Number | 4808929000 |
Fax Number | 4809260545 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 6283 |
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 identifier code assigned to 1801 Southern Vista Dental Care by the Centers for Medicare & Medicaid Services?
The 1801 Southern Vista Dental Care has been issued the NPI (National Provider Identifier) 1023102183 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the 1801 Southern Vista Dental Care located?
The 1801 Southern Vista Dental Care is located at 1801 E Southern Ave, Mesa, AZ 852045258.
What is 1801 Southern Vista Dental Care's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The 1801 Southern Vista Dental Care's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023102183 to 1801 Southern Vista Dental Care?
The Centers for Medicare & Medicaid Services originally issued the 1023102183 to 1801 Southern Vista Dental Care on 2006-10-03.
As of what date was the information regarding 1801 Southern Vista Dental Care, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 1801 Southern Vista Dental Care, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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