Provider Demographics
NPI:1861579906
Name:DENTAL ONE, INC.
Entity type:Organization
Organization Name:DENTAL ONE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RCM, DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-930-7707
Mailing Address - Street 1:PO BOX 860036
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0036
Mailing Address - Country:US
Mailing Address - Phone:480-893-0888
Mailing Address - Fax:216-584-1301
Practice Address - Street 1:6671 E BASELINE RD
Practice Address - Street 2:SUITE 123
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4328
Practice Address - Country:US
Practice Address - Phone:480-830-6300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX184581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty