Provider Demographics
NPI:1194483974
Name:ONET DENTISTRY LLC
Entity type:Organization
Organization Name:ONET DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-556-5006
Mailing Address - Street 1:20280 N 59TH AVE STE 115-318
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6850
Mailing Address - Country:US
Mailing Address - Phone:623-556-5006
Mailing Address - Fax:623-556-5664
Practice Address - Street 1:13925 W MEEKER BLVD STE 13-15
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4430
Practice Address - Country:US
Practice Address - Phone:623-556-5006
Practice Address - Fax:623-556-5564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental