GBH DENTAL LLC – NPI #1710319371
Clinic/Center

GBH DENTAL LLC is an AHC clinic located in TEMPE, AZ. NPPES has assigned the NPI number 1710319371 to GBH DENTAL LLC on August 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 10 years ago on Dec 18, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GBH DENTAL LLC below.

NPI Profile for
GBH DENTAL LLC

NPI Number
1710319371
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GBH DENTAL LLC
Primary location
1628 E SOUTHERN AVE STE 5
TEMPE, AZ 85282-5685
Phone: (480) 831-3898 Fax: (480) 831-9352
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRETT HAWKINS
OWNER/DENTIST
Phone: (602) 363-3322
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.