Provider Demographics
NPI:1134465099
Name:BEST CHOICE DENTAL GROUP LLC
Entity Type:Organization
Organization Name:BEST CHOICE DENTAL GROUP LLC
Other - Org Name:AZ TOP DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-390-4378
Mailing Address - Street 1:4138 W NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85051-5765
Mailing Address - Country:US
Mailing Address - Phone:623-643-2222
Mailing Address - Fax:623-240-1107
Practice Address - Street 1:4138 W NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85051-5765
Practice Address - Country:US
Practice Address - Phone:623-643-2222
Practice Address - Fax:623-240-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty