Just For Kids Dentistry Bullhead, Pllc in Bullhead City - Exclusive Provider Organization
Just For Kids Dentistry Bullhead, Pllc - NPI 1952563132
Just For Kids Dentistry Bullhead, Pllc is a Exclusive Provider Organization in Bullhead City, Arizona. Just For Kids Dentistry Bullhead, Pllc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Just For Kids Dentistry Bullhead, Pllc is 1952563132. The last update date is 2014-03-06.
Just For Kids Dentistry Bullhead, Pllc's current location address is 2580 Hwy 95, Bullhead City, Arizona. You can contact this provider via phone number 9287589464 and fax number 9287589459. The mailing address for Just For Kids Dentistry Bullhead, Pllc is 2580 Hwy 95, Bullhead City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Just For Kids Dentistry Bullhead, Pllc |
|---|---|
| Address | 2580 Hwy 95, Bullhead City, Arizona |
| Phone Number | 9287589464 |
| Fax Number | 9287589459 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Dicarlo Anthony Ronald |
| Credentials | DMD |
| Telephone Number | 9287187188 |
NPI Number Detail
| NPI Number | 1952563132 |
|---|---|
| Provider Enumeration Date | 2008-06-27 |
| Last Updated Date | 2014-03-06 |
Provider Mailing Address Detail
| Address | 2580 Hwy 95 |
|---|---|
| City | Bullhead City |
| State | Arizona (AZ) |
| Post Code | 86442 |
| Phone Number | 9287589464 |
| Fax Number | 9287589459 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | D6061 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 983470 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Just For Kids Dentistry Bullhead, Pllc by the Centers for Medicare & Medicaid Services?
The Just For Kids Dentistry Bullhead, Pllc has been assigned the NPI (National Provider Identifier) 1952563132. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Just For Kids Dentistry Bullhead, Pllc?
The Just For Kids Dentistry Bullhead, Pllc is situated at 2580 Hwy 95, in the city of Bullhead City, state of AZ, with the zip code 86442.
What is Just For Kids Dentistry Bullhead, Pllc's area of expertise and its corresponding taxonomy classification?
The Just For Kids Dentistry Bullhead, Pllc's field of specialization is Exclusive Provider Organization, and it falls under the taxonomy code 302F00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952563132 to Just For Kids Dentistry Bullhead, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1952563132 to Just For Kids Dentistry Bullhead, Pllc on 2008-06-27.
When was the Just For Kids Dentistry Bullhead, Pllc's information last updated?
The Just For Kids Dentistry Bullhead, Pllc's information was last updated on 2014-03-06.