Desert State Dental Anesthesia, Llc in Mesa - Dentist Anesthesiologist
Desert State Dental Anesthesia, Llc - NPI 1407994676
Desert State Dental Anesthesia, Llc is a Dentist Anesthesiologist in Mesa, Arizona. Desert State Dental Anesthesia, Llc practices all healthcare services and medical treatments related to Dentist Anesthesiologist. The NPI Number for Desert State Dental Anesthesia, Llc is 1407994676. The last update date is 2016-06-29.
Desert State Dental Anesthesia, Llc's current location address is 625 W Southern Ave Ste E-145, Mesa, Arizona. You can contact this provider via phone number 4803325541 and fax number 8668141886. The mailing address for Desert State Dental Anesthesia, Llc is 625 W Southern Ave Ste E-145, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Desert State Dental Anesthesia, Llc |
|---|---|
| Address | 625 W Southern Ave Ste E-145, Mesa, Arizona |
| Phone Number | 4803325541 |
| Fax Number | 8668141886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Turner Nelson Reuben |
| Credentials | DDS |
| Telephone Number | 4803325541 |
NPI Number Detail
| NPI Number | 1407994676 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2016-06-29 |
Provider Mailing Address Detail
| Address | 625 W Southern Ave Ste E-145 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852105030 |
| Phone Number | 4803325541 |
| Fax Number | 8668141886 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist Anesthesiologist |
|---|---|
| Taxonomy | 1223D0004X |
|
Definition: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residenc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 884644 | AZ | -- |
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What is the unique identifier code issued to Desert State Dental Anesthesia, Llc by the Centers for Medicare & Medicaid Services?
The Desert State Dental Anesthesia, Llc has been assigned the NPI (National Provider Identifier) 1407994676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Desert State Dental Anesthesia, Llc located?
The Desert State Dental Anesthesia, Llc is located at 625 W Southern Ave Ste E-145, Mesa, AZ 852105030.
What is the Desert State Dental Anesthesia, Llc's area of specialization and corresponding taxonomy classification?
The Desert State Dental Anesthesia, Llc's specialty field is Dentist Anesthesiologist, and it falls under the taxonomy code 1223D0004X, which categorizes healthcare providers based on their specialties.
When did the Desert State Dental Anesthesia, Llc receive its 1407994676?
The Desert State Dental Anesthesia, Llc was issued its 1407994676 on 2007-02-01, which is the date when the organization was assigned this unique identifier.
When was the Desert State Dental Anesthesia, Llc's information last updated?
The Desert State Dental Anesthesia, Llc's information was last updated on 2016-06-29.
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