Southern Dental is a Dentist in Phoenix, Arizona. Southern Dental practices all healthcare services and medical treatments related to Dentist. The NPI Number for Southern Dental is 1265616213. The last update date is 2007-12-27.
Southern Dental's current location address is 3320 W. Southern Avenue, Phoenix, Arizona. You can contact this provider via phone number 6023058800 and fax number 6023058801. The mailing address for Southern Dental is 3320 W. Southern Avenue, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Dental |
|---|---|
| Address | 3320 W. Southern Avenue, Phoenix, Arizona |
| Phone Number | 6023058800 |
| Fax Number | 6023058801 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Nguyen P Peter |
| Credentials | DMD |
| Telephone Number | 6023058800 |
NPI Number Detail
| NPI Number | 1265616213 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | 3320 W. Southern Avenue |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85041 |
| Phone Number | 6023058800 |
| Fax Number | 6023058801 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5995 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southern Dental by the Centers for Medicare & Medicaid Services?
The Southern Dental has been assigned the NPI (National Provider Identifier) 1265616213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Southern Dental's facilities are geographically located?
The facilities of Southern Dental are physically situated at the following location: 3320 W. Southern Avenue, Phoenix, AZ, 85041.
What is Southern Dental's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Dental is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Southern Dental receive its 1265616213 assignment from the Centers for Medicare & Medicaid Services?
The Southern Dental was assigned its 1265616213 by the Centers for Medicare & Medicaid Services on 2007-12-27.
As of what date were the details pertaining to Southern Dental last refreshed?
The information related to the Southern Dental, including its address, specialty, and other relevant details, was last updated on 2007-12-27.