# KMS DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871972893
- **Authorized official:** MICHAEL HOWELL (OWNER)
- **Authorized official phone:** (602) 996-3993

## Contact information

- **Practice address:** 4614 E. SHEA BLVD, SUITE D230, PHOENIX, AZ 85028-6027
- **Practice address phone:** (602) 996-3993
- **Practice address fax:** (602) 996-0675
- **Mailing address:** 4614 E. SHEA BLVD, SUITE D230, PHOENIX, AZ 85028-6027
- **Mailing address phone:** (602) 996-3993
- **Mailing address fax:** (602) 996-0675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015