Provider Demographics
NPI:1457660755
Name:BILTMORE DENTAL PARTNERS LLC
Entity Type:Organization
Organization Name:BILTMORE DENTAL PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-264-2905
Mailing Address - Street 1:1277 E MISSOURI AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2917
Mailing Address - Country:US
Mailing Address - Phone:602-997-0919
Mailing Address - Fax:602-297-6797
Practice Address - Street 1:1277 E MISSOURI AVE STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2917
Practice Address - Country:US
Practice Address - Phone:602-997-0919
Practice Address - Fax:602-297-6797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty