institution
Desert State Dental Anesthesia, Llc
Dentist Anesthesiologist in Mesa, Arizona
NPI 1407994676

Desert State Dental Anesthesia, Llc is a Dentist Anesthesiologist based in Mesa, AZ and is specialized in Dentist Anesthesiologist. Desert State Dental Anesthesia, Llc practices in Mesa, AZ. The NPI Number for Desert State Dental Anesthesia, Llc is 1407994676 and holds a License No. (Arizona).

The current practice location address for Desert State Dental Anesthesia, Llc is 625 W Southern Ave Ste E-145, Mesa, AZ and can be reached out via phone at 480-332-5541 and via fax at 866-814-1886. You can also correspond with Desert State Dental Anesthesia, Llc through the mailing address at 625 W SOUTHERN AVE STE E-145, MESA, AZ - 85210-5030 (mailing address contact number: 480-332-5541).

Location: 625 W Southern Ave Ste E-145, Mesa, AZ, 85210-5030
institution
Provider Profile Details
NPI Number
1407994676
Provider Name
Desert State Dental Anesthesia, Llc
Credential
Provider Entity Type
Organization
Address
625 W Southern Ave Ste E-145, Mesa, AZ, 85210-5030
Phone Number
480-332-5541
Fax Number
866-814-1886
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
884644 05 AZ
institution
Provider Business Practice Location Address Details
Address
625 W Southern Ave Ste E-145
City
State
Zip
85210-5030
Phone Number
480-332-5541
Fax Number
866-814-1886
person
Provider Business Mailing Address Details
Address
625 W Southern Ave Ste E-145
City
State
Zip
85210-5030
Phone Number
480-332-5541
Fax Number
866-814-1886
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
License No.
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Definition
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.
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