NPI 1114194651 DESERT CANYON DENTISTRY PLLC SCOTTSDALE AZ. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Desert Canyon Dentistry Pllc - NPI: 1114194651

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: DESERT CANYON DENTISTRY PLLC
NPI Number: 1114194651
Entity Type Code: Organizational (2)
Authorized Official Name: JOE DALE DITTERLINE
(DENTIST OWNER)
Mailing Address: 13910 N Frank Lloyd Wright Blvd Ste 3
Scottsdale
State: AZ US
Postal Code: 85260
Phone Number: 4806611200
Fax Number: 4806611729
NPI Enumeration Date: 05/14/2008
NPI Last Update Date: 05/14/2008
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 1223G0001X
License Number: D4395
Healthcare Provider Taxonomy:
(Secondary)
Y
State: AZ
Taxonomy Type: Dental Providers
Taxonomy Classification: Dentist
Taxonomy Specialization: General Practice
Taxonomy Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


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