Organization · NPI-2

A T Still University Of Health Sciences

Dentist · Mesa, AZ

NPI number1285845776
StatusActive
Last updated in NPPESMar 17, 2025

Details

NPI
1285845776
Entity type
Organization (NPI-2)
Legal business name
A T Still University Of Health Sciences
Organization subpart
No
Enumeration date
May 25, 2007
Certification date
Mar 17, 2025
Last updated
Mar 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes
1223G0001X Dentist, General Practice––
1223P0106X Dentist, Oral and Maxillofacial Pathology––
1223S0112X Dentist, Oral and Maxillofacial Surgery––
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––
1223X2210X Dentist, Orofacial Pain––

Other names

  • The Center For Advanced Oral Health (Doing Business As)

Practice location

5835 E Still Cir
Mesa, AZ 85206-3618

Phone 480-248-8107 · Fax 623-223-7073

Mailing address

5835 E Still Cir
Mesa, AZ 85206-3618

Phone 480-219-6183 · Fax 480-907-2194

Other practice locations

5855 E Still Cir
Mesa, AZ 85206-3618

Phone 480-248-8100 · Fax 480-248-8199

Authorized official

Mindy Motahari
Dean
4802488162

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