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DENTAL SPECIALISTS OF NW ARIZONA
NPI 1831554930
Dentist - Periodontics in Lake Havasu City, AZ

Active since December 16, 2015
2152 MCCULLOCH BLVD N STE C, LAKE HAVASU CITY, AZ 86403(928) 854-5551 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Specialists Of Nw Arizona NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL SPECIALISTS OF NW ARIZONA (NPI 1831554930) is a healthcare organization registered as a periodontics in Lake Havasu City, Arizona and active in the NPI registry since December 2015. The organization lists Ryan Lavene, Endodontist, as its authorized official.

NPPES Registry Identity

NPI1831554930
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDENTAL SPECIALISTS OF NW ARIZONA
Location Address2152 MCCULLOCH BLVD N STE CLake Havasu City, AZ 86403-6805
Mailing Address2152 Mcculloch Blvd N Ste CLake Havasu City, AZ 86403-6805 · (928) 854-5551
Phone(928) 854-5551
Organization SubpartNo
Authorized OfficialRyan LaveneEndodontist · (928) 854-5551
Enumeration DateDecember 16, 2015
✔ NPI 1831554930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AZ · 8823
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 8793 (AZ)
2152 MCCULLOCH BLVD N STE C, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA ANN LAVENE D.M.D
Dentist (Periodontics)
2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
Mohave County (310) 947-2631
DR. RYAN LAVENE DDS
Dentist (Endodontics)
2152 MCCULLOCH BLVD N STE C
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dental Specialists Of NW Arizona's NPI number?

The NPI number for Dental Specialists Of NW Arizona is 1831554930. It was assigned to this organization in the NPPES registry on December 16, 2015.

Where is Dental Specialists Of NW Arizona located?

Dental Specialists Of NW Arizona is located at 2152 Mcculloch Blvd N Ste C, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-5551.

What is Dental Specialists Of NW Arizona's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dental Specialists Of NW Arizona was last updated on December 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.