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BRIDGE LAKE DENTAL
NPI 1912301425
Dentist in Lake Havasu, AZ

Active since October 13, 2014
1799 NORTH KIOWA BLVD, UNIT 109, LAKE HAVASU, AZ 86403(928) 399-7711(928) 399-7710 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridge Lake Dental NPPES

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

BRIDGE LAKE DENTAL (NPI 1912301425) is a healthcare organization registered as a dentist in Lake Havasu, Arizona and active in the NPI registry since October 2014. The organization lists Roland Pischinger, Insurance Department Manager, as its authorized official.

NPPES Registry Identity

NPI1912301425
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameARIZONA HAVASU BDM PAK LLC
Location Address1799 NORTH KIOWA BLVD, UNIT 109Lake Havasu, AZ 86403
Mailing Address2101 S Jones Blvd Ste 140Las Vegas, NV 89146-3133 · (702) 522-2025 · Fax (702) 990-8856
Phone(928) 399-7711
Fax(928) 399-7710
Organization SubpartNo
Authorized OfficialRoland PischingerInsurance Department Manager · (702) 522-2028
Enumeration DateOctober 13, 2014
Last NPPES UpdateMay 31, 2018
✔ NPI 1912301425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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.
1799 NORTH KIOWA BLVD, Lake Havasu, AZ 86403
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Other Names 1

Doing Business AsBridge Lake Dental

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

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 Arizona Havasu Bdm Pak LLC's NPI number?

The NPI number for Arizona Havasu Bdm Pak LLC is 1912301425. It was assigned to this organization in the NPPES registry on October 13, 2014. The provider is doing business as Bridge Lake Dental.

Where is Arizona Havasu Bdm Pak LLC located?

Arizona Havasu Bdm Pak LLC is located at 1799 North Kiowa Blvd Unit 109, Lake Havasu, AZ 86403. The listed phone number is (928) 399-7711.

What is Arizona Havasu Bdm Pak LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Arizona Havasu Bdm Pak LLC was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.