Organization · Type 2 NPI

Desert State Dental Anesthesia, LLC

Dental Anesthesiology · Mesa, AZ

NPI number 1407994676 Active

Practice location

625 W Southern Ave Ste E-145
Mesa, AZ 85210-5030

Fax (866) 814-1886

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XNone listed

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

3 other providers at this address

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About NPI 1407994676

Desert State Dental Anesthesia, LLC's National Provider Identifier is 1407994676, issued on Feb 1, 2007. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Mesa, AZ. The record was last updated on Jun 29, 2016.