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Contact Information

1ST AMERICAN DENTAL
55 E BROADWAY RD
TEMPE, AZ85282-1302
 Phone: 480-687-2266
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 1ST AMERICAN DENTAL

NPI Number 1750032629
LBN Legal business name 1ST AMERICAN DENTAL
Authorized official JOEY GRAZIANO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2022
Last updated 01/12/2022 - About 4 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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