1730145236 NPI number — ROSENTHAL CHIANG DENTISTRY, P.L.C.

Table of content: DR. JANICE JIN HWANG MD (NPI 1396912051)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730145236 NPI number — ROSENTHAL CHIANG DENTISTRY, P.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROSENTHAL CHIANG DENTISTRY, P.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730145236
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8438 E SHEA BLVD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85260-6669
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-661-7745
Provider Business Mailing Address Fax Number:
480-661-5216

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8438 E SHEA BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85260-6669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-661-7745
Provider Business Practice Location Address Fax Number:
480-661-5216
Provider Enumeration Date:
04/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
L'HEUREUX
Authorized Official First Name:
JACLYN
Authorized Official Middle Name:
RENE'
Authorized Official Title or Position:
BUSINESS MANAGER
Authorized Official Telephone Number:
480-661-7745

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com