Family and Kids Dental LLC
Clinic/Center (Dental)

Address: 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400
Phone: 4806125632

Family and Kids Dental LLC (NPI# 1942821301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1942821301
Entity Type Organization
Practice Address 2610 W Baseline Rd Ste 120
AZ 85041-6400
Practice Telephone 4806125632
Mailing Address 2610 W Baseline Rd Ste 120
AZ 85041-6400
Authorized Official Name Daniel Levi Haught (OWNER)
Authorized Official Telephone 9289702723
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-27
Last Update Date 2020-04-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
AZ Family and Kids Dental Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Office Location

Street Address 2610 W BASELINE RD STE 120
State AZ
Zip Code 85041-6400

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Zip Code 85041

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.