| Dental Specialists Of Nw Arizona | |
|
2152 Mcculloch Blvd N Ste C Lake Havasu City AZ 86403-6805 | |
| (928) 854-5551 | |
| Not Available |
| Full Name | Dental Specialists Of Nw Arizona |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2152 Mcculloch Blvd N Ste C, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Ryan Lavene (ENDODONTIST) |
| Authorized Official Contact | 9288545551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialists Of Nw Arizona 2152 Mcculloch Blvd N Ste C Lake Havasu City AZ 86403-6805 Ph: (928) 854-5551 | Dental Specialists Of Nw Arizona 2152 Mcculloch Blvd N Ste C Lake Havasu City AZ 86403-6805 Ph: (928) 854-5551 |
| NPI Number | 1831554930 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831554930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 8793 (Arizona) | Secondary |
| 1223P0300X | Dentist - Periodontics | 8823 (Arizona) | Primary |
Aesthetic Dental Care Of Arizona, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Lake Havasu Ave N, Suite 5, Lake Havasu City, AZ 86403 Phone: 928-453-5577 Fax: 928-453-1661 | |
Dr. Mead & Dr. Houston Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Riviera Dr, Lake Havasu City, AZ 86403 Phone: 928-486-0628 | |
Lake Havasu Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2061 Smoketree Ave N, Lake Havasu City, AZ 86403 Phone: 928-854-4141 | |
Havasu Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Mcculloch Blvd N, #100, Lake Havasu City, AZ 86403 Phone: 928-733-6070 Fax: 928-733-6075 | |
Pleasant Valley Dental Care, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2178 Mcculloch Blvd N Ste 14, Lake Havasu City, AZ 86403 Phone: 928-855-5159 | |
Lundin Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1741 Mesquite Ave Ste 100b, Lake Havasu City, AZ 86403 Phone: 928-855-0556 | |
Ahn Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 Mcculloch Blvd N, Lake Havasu City, AZ 86403 Phone: 928-855-3000 Fax: 928-855-3001 |