Organization
JENKINS DENTAL PARTNERS II PC
Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Signature Nevada FFS Dental Partners, Caffaratti Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
730 BARING BLVD, SPARKS, NV 89434-1500
(775) 358-1555
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
12/02/2020
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