Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COUNTRY CLUB DENTAL MANAGEMENT CO, PC
Active OrganizationCOUNTRY CLUB DENTAL MANAGEMENT CO, PC is a Dentist organization located in MESA, Arizona. NPI 1164722021 is currently active in the NPPES registry. Verify at CMS.
Dentist · MESA, AZ
Registration Details
- NPI Number
- 1164722021
- Provider Type
- Organization
- NPI Issued
- Oct 26, 2010 (15.826312903204 yrs)
- Last Updated
- Oct 31, 2013
- Licenses
-
D07819 (AZ)D07819 (AZ)
Practice Information
- Address
-
4704 E SOUTHERN AVESUITE #1MESA, AZ, 852062737Browse AZ providers · Browse ZIP 85206
- Phone
- 4808899457
- Fax
- 4808899493
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Organizations in MESA, AZ
| Name | NPI |
|---|---|
| NORTH STAPELY DENTAL CARE | 1003872680 |
| DR KATERINA GONCHAROVA DDS PLC | 1972560571 |
| WPF HOLDINGS LLC | 1790886281 |
| MESA DENTAL GROUP LLC | 1659462372 |
| 1801 SOUTHERN VISTA DENTAL CARE | 1023102183 |
| TRU-VALUE DENTURE AND DENTAL CENTER | 1316022171 |
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.