NPI Profile for STARLIGHT DENTAL SERVICES INC in PHOENIX, AZ.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dental Assistant |
126800000X | |||
Dental Hygienist |
124Q00000X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X |
| NPI Number | 1063015576 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/17/2020 | |
| Last updated | 04/23/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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STARLIGHT DENTAL SERVICES INC
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