DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

1801 SOUTHERN VISTA DENTAL CARE

Active Organization

1801 SOUTHERN VISTA DENTAL CARE is a Dentist organization located in MESA, Arizona. NPI 1023102183 is currently active in the NPPES registry. Verify at CMS.

Dentist · MESA, AZ

Registration Details

NPI Number
1023102183
Provider Type
Organization
NPI Issued
Oct 3, 2006 (19.825194834537 yrs)
Last Updated
Aug 22, 2020
Licenses
6283 (AZ)
2561 (AZ)
6591 (AZ)

Practice Information

Address
1801 E SOUTHERN AVE
SUITE 103
MESA, AZ, 852045258
Browse AZ providers · Browse ZIP 85204
Phone
4808929000
Fax
4809260545
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Additional Specialty
Dentist

Other Dentist Organizations in MESA, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.