Desert Shores Dentistry, Pllc in Phoenix - General Practice
Desert Shores Dentistry, Pllc - NPI 1376752808
Desert Shores Dentistry, Pllc is a General Practice in Phoenix, Arizona. Desert Shores Dentistry, Pllc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Desert Shores Dentistry, Pllc is 1376752808. The last update date is 2020-08-22.
Desert Shores Dentistry, Pllc's current location address is 16515 S 40th St, Phoenix, Arizona. You can contact this provider via phone number 4807592000 and fax number 4807592058. The mailing address for Desert Shores Dentistry, Pllc is 16515 S 40th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Desert Shores Dentistry, Pllc |
|---|---|
| Address | 16515 S 40th St, Phoenix, Arizona |
| Phone Number | 4807592000 |
| Fax Number | 4807592058 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER - DE |
|---|---|
| Authorized Official Name | Sandvik Joseph Bradley |
| Credentials | DMD |
| Telephone Number | 4807592000 |
NPI Number Detail
| NPI Number | 1376752808 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 16515 S 40th St |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850480558 |
| Phone Number | 4807592000 |
| Fax Number | 4807592058 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5676 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Desert Shores Dentistry, Pllc by the Centers for Medicare & Medicaid Services?
The Desert Shores Dentistry, Pllc has been issued the NPI (National Provider Identifier) 1376752808, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Desert Shores Dentistry, Pllc is physically located?
The Desert Shores Dentistry, Pllc is physically situated at the following address: 16515 S 40Th St, Phoenix, AZ, 850480558.
What is Desert Shores Dentistry, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Desert Shores Dentistry, Pllc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Desert Shores Dentistry, Pllc's 1376752808 issued?
The Desert Shores Dentistry, Pllc's 1376752808 was issued on 2007-05-22.
As of what date was the information regarding Desert Shores Dentistry, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Desert Shores Dentistry, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.