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Contact Information

16TH STREET DENTAL CARE
1325 W 16TH ST
SUITE 4
YUMA, AZ85364-4496
 Phone: 928-782-3839
 Fax: 928-329-9029
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 16TH STREET DENTAL CARE

NPI Number 1043466782
LBN Legal business name 16TH STREET DENTAL CARE
Authorized official CARRIE FREEZE - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/13/2008
Last updated 08/13/2008 - About 18 years ago
Identifiers
AZ License # D7288
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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