LUNDIN DENTAL PC (NPI# 1447643358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447643358 |
| Entity Type | Organization |
| Organization Name | LUNDIN DENTAL PC |
| Practice Address |
1741 Mesquite Avenue Ste B 100 Lake Havasu City AZ 86403 |
| Practice Telephone | 9288550556 |
| Mailing Telephone | 9288550556 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | LARRY LUNDIN (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 9284861841 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
D03730 | AZ | Suppliers |
| Street Address |
1741 MESQUITE AVENUE STE B 100 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| 1114200664 | House On The Riviera Assisted Living | Assisted Living Facility | 190 Riviera Dr., Lake Havasu City, AZ 86403 | 2011-09-21 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225162738 | Vision Care Center | Durable Medical Equipment & Medical Supplies | 1761 Mcculloch Blvd N, Lake Havasu City, AZ 86403-0947 | 2007-03-15 |
| 1023104072 | Walgreen Home Care, Inc | Durable Medical Equipment & Medical Supplies | 40 Capri Blvd, Lake Havasu City, AZ 86403-5661 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562695 | Arizona Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 8618 N 35th Ave Ste 1a, Phoenix, AZ 85051-3800 | 2020-09-14 |
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1477166809 | Valley Sleep Therapy Inc | Durable Medical Equipment & Medical Supplies | 13481 W Mcdowell Rd Ste 200b, Goodyear, AZ 85395-2720 | 2020-08-25 |
| 1336764844 | Rider Mobility Inc. | Durable Medical Equipment & Medical Supplies | 9800 N 91st Ave Ste 116, Peoria, AZ 85345-8374 | 2020-06-10 |
| 1548893365 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 10484 W Thunderbird Blvd Ste 100, Sun City, AZ 85351-6019 | 2020-02-20 |
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1558910653 | Goto Sleep | Durable Medical Equipment & Medical Supplies | 8415 N Pima Rd Ste 275, Scottsdale, AZ 85258-4488 | 2019-09-11 |
| 1013475292 | Valley Sleep Therapy Inc | Durable Medical Equipment & Medical Supplies | 6320 W Union Hills Dr Ste 1100b, Glendale, AZ 85308-1009 | 2019-03-06 |
| 1205392792 | Center for Orthopedic Research and Education Inc | Durable Medical Equipment & Medical Supplies | 8952 E Desert Cove Ave Ste 113, Scottsdale, AZ 85260-6776 | 2019-02-20 |
| 1710442041 | Gus Communication Devices Inc. | Durable Medical Equipment & Medical Supplies | Gus Communication Devices Inc, 6938 East Quail Track Drive, Scottsdale, AZ 85266-8866 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on LUNDIN DENTAL PC.
| 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.