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Contact Information

1ST DENTAL CARE, LLC
1150 S. HIGHWAY 92,
SUITE A
SIERRA VISTA, AZ85635
 Phone: 520-459-5166
 Fax: 520-458-8425
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 1ST DENTAL CARE, LLC

NPI # 1619236999
LBN Legal business name 1ST DENTAL CARE, LLC
Authorized official LONG BUI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2012
Last updated 05/08/2012 - About 14 years ago
Identifiers
AZ License # D06074
AZ License # D5764
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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