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Contact Information

THE RIVER'S EDGE DENTAL
1185 N ARIZONA BLVD
COOLIDGE, AZ85128
 Phone: 435-518-3343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for THE RIVER'S EDGE DENTAL

NPI Number 1265085567
LBN Legal business name THE RIVER'S EDGE DENTAL
Authorized official MARVIN JACKSON - (OWNER / DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2019
Last updated 07/17/2019 - About 7 years ago
Identifiers n/a
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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