Provider Demographics
NPI:1215945340
Name:LLOYD, DENNIS KAY (DDS)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:KAY
Last Name:LLOYD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3960 E UNIVERSITY DR #101
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205
Mailing Address - Country:US
Mailing Address - Phone:480-830-8686
Mailing Address - Fax:480-830-8899
Practice Address - Street 1:3940 E UNIVERSITY DR
Practice Address - Street 2:SUITE 2
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-6945
Practice Address - Country:US
Practice Address - Phone:480-830-8686
Practice Address - Fax:480-830-8899
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice