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NPI Profile for GLISTEN DENTAL LLC in GILBERT, 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 | |||
Dentist |
122300000X | |||
Endodontics |
1223E0200X | |||
Oral and Maxillofacial Surgery |
1223S0112X | 19 | Oral Surgery (Dentist only) | |
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X | |||
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1104553478 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/05/2022 | |
| Last updated | 06/08/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GLISTEN DENTAL LLC
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GLISTEN DENTAL LLC