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Contact Information

ARIZONA DENTAL MANAGEMENT
3515 WEST SOUTHERN AVENUE
SUITE #152
PHOENIX, AZ85041
 Phone: 602-268-0006
 Fax: 602-268-0007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ARIZONA DENTAL MANAGEMENT

NPI # 1588228373
LBN Legal business name ARIZONA DENTAL MANAGEMENT
Authorized official THOMAS KIM - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/26/2019
Last updated 04/26/2019 - 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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