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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 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 CirMesa, AZ 85206-3618
Phone 480-248-8107 · Fax 623-223-7073
Mailing address
5835 E Still CirMesa, AZ 85206-3618
Phone 480-219-6183 · Fax 480-907-2194
Other practice locations
5855 E Still Cir
Mesa, AZ 85206-3618
Mesa, AZ 85206-3618
Phone 480-248-8100 · Fax 480-248-8199
Authorized official
Mindy Motahari
Dean
4802488162
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