SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC - NPI 1962642132

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

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About Sun Lakes Periodontics & Implant Dentistry, Pllc NPPES

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

SUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC (NPI 1962642132) is a healthcare organization registered as a periodontics in Sun Lakes, Arizona and active in the NPI registry since March 2009. The organization lists Trever L Siu, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1962642132

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameSUN LAKES PERIODONTICS & IMPLANT DENTISTRY, PLLC

Location Address10450 E RIGGS RD, SUITE #118Sun Lakes, AZ 85248-7758

Mailing Address10450 E Riggs Rd, Suite #118Sun Lakes, AZ 85248-7758 · (480) 895-0801 · Fax (480) 895-5927

Phone(480) 895-0801

Fax(480) 895-5927

Organization SubpartNo

Authorized OfficialTrever L SiuDentist/owner · (480) 895-0801

Enumeration DateMarch 2, 2009

✔ NPI 1962642132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in AZ · 6841

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.

10450 E RIGGS RD, Sun Lakes, AZ 85248

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Group Practice 1

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