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Contact Information

ADVANCED FAMILY DENTISTRY
LBN INNOVATIVE DENTAL GROUP, PLLC
5209 N ORACLE RD
TUCSON, AZ85704
 Phone: 520-353-3002
 Fax:
 Website: https://www.tucsonazdentistry.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED FAMILY DENTISTRY

NPI Number 1639677115
LBN Legal business name INNOVATIVE DENTAL GROUP, PLLC
DBA Doing business as ADVANCED FAMILY DENTISTRY
Authorized official PAYAM KIMIAEI-ASADI - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2018
Last updated 02/20/2020 - About 6 years ago
Identifiers
AZ License # D008483
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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