Organization
JUST FOR KIDS DENTISTRY BULLHEAD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD ANTHONY DICARLO II DMD (PRESIDENT/OWNER)
(928) 718-7188
Entity
Organization
Contact information
Practice address
2580 HWY 95, STE. 101, BULLHEAD CITY, AZ 86442
(928) 758-9464
(928) 758-9459
Mailing address
2580 HWY 95, STE. 101, BULLHEAD CITY, AZ 86442
(928) 758-9464
(928) 758-9459
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
D6061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983470
—
AZ
Enumeration date
06/27/2008
Last updated
03/06/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us