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Contact Information

PREMIER FAMILY DENTAL HOLDINGS LLC
3050 E CHANDLER HEIGHTS RD
STE 105
GILBERT, AZ85290
 Phone: 480-279-5611
 Fax: 480-279-5610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PREMIER FAMILY DENTAL HOLDINGS LLC

NPI Number 1285172551
LBN Legal business name PREMIER FAMILY DENTAL HOLDINGS LLC
Authorized official BECKY ONDA - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2017
Last updated 02/07/2017 - About 9 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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