AESTHETIC DENTAL CARE OF ARIZONA, P.C. NPI 1003007956

Dentist (General Practice) in Lake Havasu City, AZ

About AESTHETIC DENTAL CARE OF ARIZONA, P.C.

Aesthetic Dental Care Of Arizona, P.c. is a provider in Lake Havasu City, AZ. The NPI number assigned to this provider is 1003007956. The practitioner's primary taxonomy code is Dentist (1223G0001X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Aesthetic Dental Care Of Arizona, P.c. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003007956 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameAESTHETIC DENTAL CARE OF ARIZONA, P.C.
Provider Location Address34 LAKE HAVASU AVE N SUITE 5 LAKE HAVASU CITY, AZ 86403 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address34 LAKE HAVASU AVE N SUITE 5 LAKE HAVASU CITY, AZ 86403 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-06-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-06-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

AESTHETIC DENTAL CARE OF ARIZONA, P.C.
34 LAKE HAVASU AVE N
SUITE 5
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-5577
Fax: (928) 453-1661
Get Directions

Mailing Address

AESTHETIC DENTAL CARE OF ARIZONA, P.C.
34 LAKE HAVASU AVE N
SUITE 5
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 453-5577
Fax: (928) 453-1661

Primary Taxonomy

Taxonomy Code1223G0001X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.3216
License StateAZ
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameDR. DEE DENNIS MOSHOS D.D.S. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(928) 453-5577

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Map Location


AESTHETIC DENTAL CARE OF ARIZONA, P.C. address is 34 LAKE HAVASU AVE N SUITE 5 LAKE HAVASU CITY, AZ 86403