Nba Dental Group, Pc in Phoenix - Dentist

Nba Dental Group, Pc - NPI 1740468990

Nba Dental Group, Pc is a Dentist in Phoenix, Arizona. Nba Dental Group, Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nba Dental Group, Pc is 1740468990. The last update date is 2008-02-08.

Nba Dental Group, Pc's current location address is 4102 N 24th St, Phoenix, Arizona. You can contact this provider via phone number 6029562024 and fax number 6029562209. The mailing address for Nba Dental Group, Pc is 4102 N 24th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Nba Dental Group, Pc
Address 4102 N 24th St, Phoenix, Arizona
Phone Number 6029562024
Fax Number 6029562209
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INS MGR
Authorized Official Name Pryor E Fawne
Telephone Number 6235362040

NPI Number Detail

NPI Number 1740468990
Provider Enumeration Date 2008-02-08
Last Updated Date 2008-02-08

Provider Mailing Address Detail

Address 4102 N 24th St
City Phoenix
State Arizona (AZ)
Post Code 850166283
Phone Number 6029562024
Fax Number 6029562209

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No D5981
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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FAQs about Nba Dental Group, Pc

What is the unique 10-digit identification code assigned to Nba Dental Group, Pc by the Centers for Medicare & Medicaid Services?

The Nba Dental Group, Pc has been issued the NPI (National Provider Identifier) 1740468990, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Nba Dental Group, Pc's facilities are geographically located?

The facilities of Nba Dental Group, Pc are physically situated at the following location: 4102 N 24Th St, Phoenix, AZ, 850166283.

What is Nba Dental Group, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Nba Dental Group, Pc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740468990 to Nba Dental Group, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1740468990 to Nba Dental Group, Pc on 2008-02-08.

As of what date was the information pertaining to Nba Dental Group, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Nba Dental Group, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-08.

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