Ridge Dental Specialists Llc in Phoenix - Endodontics
Ridge Dental Specialists Llc - NPI 1689895765
Ridge Dental Specialists Llc is a Endodontics in Phoenix, Arizona. Ridge Dental Specialists Llc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Ridge Dental Specialists Llc is 1689895765. The last update date is 2020-08-22.
Ridge Dental Specialists Llc's current location address is 20950 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 4805388100 and fax number 4805388101. The mailing address for Ridge Dental Specialists Llc is 20950 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ridge Dental Specialists Llc |
|---|---|
| Address | 20950 N Tatum Blvd, Phoenix, Arizona |
| Phone Number | 4805388100 |
| Fax Number | 4805388101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lammot Paul Thomas |
| Credentials | DDS |
| Telephone Number | 4805388100 |
NPI Number Detail
| NPI Number | 1689895765 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20950 N Tatum Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 85050 |
| Phone Number | 4805388100 |
| Fax Number | 4805388101 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | D6278 |
|
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Ridge Dental Specialists Llc by the Centers for Medicare & Medicaid Services?
The Ridge Dental Specialists Llc has been issued the NPI (National Provider Identifier) 1689895765 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Ridge Dental Specialists Llc is geographically located?
The Ridge Dental Specialists Llc is physically situated at the following location: 20950 N Tatum Blvd, Phoenix, AZ, 85050.
What is the Ridge Dental Specialists Llc's specialty and taxonomy code?
The Ridge Dental Specialists Llc's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
When was the Ridge Dental Specialists Llc's 1689895765 issued?
The Ridge Dental Specialists Llc's 1689895765 was issued on 2007-05-02.
As of what date were the Ridge Dental Specialists Llc's details last updated?
The information pertaining to the Ridge Dental Specialists Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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