Organization · Type 2 NPI

Az Specialty Dental Services, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Phoenix, AZ

NPI number 1659137016 Active

Practice location

2330 N 75th Ave Ste 100
Phoenix, AZ 85035-1200

Call (623) 849-0880 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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NPI record

NPI: 1659137016
Entity type: Organization (Type 2)
Issued: Feb 23, 2024
Last updated: Feb 23, 2024
Status: Active
Subpart: Yes of Az Specialty Dental Services, LLC

Other names

Rusty Jones Orthodontics · doing business as

Authorized official

Charlotte Dasch
Direc of Cred and Prov Rel
(504) 638-0303

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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 1659137016

Az Specialty Dental Services, LLC's National Provider Identifier is 1659137016, issued on Feb 23, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 23, 2024.