Organization · Type 2 NPI

Mesa Dental Arizona LLC

Dentist · Phoenix, AZ

NPI number 1447780135 Active

Practice location

3320 W Southern Ave #111
Phoenix, AZ 85041

Call (602) 305-8800 Map

Mailing address

1 East Washington St Ste 500
Phoenix, AZ 85004

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	9690 (AZ)

Dentist: 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 requiremen…

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NPI record

NPI: 1447780135
Entity type: Organization (Type 2)
Issued: Jun 14, 2017
Last updated: Jun 14, 2017
Status: Active
Subpart: Yes of Mesa Dental Arizona LLC

Other names

<unavail>
Southern Dental · other name

Authorized official

Mr. Mark Wilkes Morris, DMD
Sole Owner/general Dentist
(312) 339-0588

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447780135

Mesa Dental Arizona LLC's National Provider Identifier is 1447780135, issued on Jun 14, 2017. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 14, 2017.