CLASSICAL DENTISTRY
NPI 1760611552
Dentist in El Mirage, AZ
NPI Status: Active since July 14, 2009
Contact Information
10111 N EL MIRAGE RD
EL MIRAGE, AZ
ZIP 85335
Phone: (623) 582-3909
Fax: (623) 582-3902
- Organization
- Dentist
- CLIA Number: 03D2302976
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-17-2026
About CLASSICAL DENTISTRY
This page provides the complete NPI Profile along with additional information for Classical Dentistry, a provider established in El Mirage, Arizona operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1760611552 assigned on July 2009. The practitioner's primary taxonomy code is 122300000X with license number D7345 (AZ). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Classical Dentistry. The authorized official of this NPI record is Fawne E Pryor (Ins Mgr)
- NPI
- 1760611552
- Provider Legal Name
- EL MIRAGE DENTISTRY
- Other Organization Name
- CLASSICAL DENTISTRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10111 N EL MIRAGE RD EL MIRAGE, AZ 85335
- Location Phone
- (623) 582-3909
- Location Fax
- (623) 582-3902
- Mailing Address
- 10111 N EL MIRAGE RD EL MIRAGE, AZ 85335
- Mailing Phone
- (623) 582-3909
- Mailing Fax
- (623) 582-3902
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2009
- Last Update Date
- 07-14-2009
- Code Navigator
A dentist like Classical Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- D7345
- License State
- AZ
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Group Taxonomy 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2302976
- Facility Type
- Physician Office
- Certificate Effective Date
- April 18, 2024
- Certificate Expiration Date
- April 17, 2026
- Laboratory Director
- CHUKWUEMEKA EZEUME
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Classical Dentistry after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1760611552, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
EL MIRAGE, AZ 85335
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760611552, enumerated as an "organization" on July 14, 2009.
The provider is located at 10111 N EL MIRAGE RD EL MIRAGE, AZ 85335 and the phone number is (623) 582-3909.
Dentist with taxonomy code 122300000X.
