Provider Demographics
NPI:1841760899
Name:VALLEY IMPLANT CENTERS
Entity Type:Organization
Organization Name:VALLEY IMPLANT CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SCOTT MURPHY
Authorized Official - Last Name:DORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-687-5656
Mailing Address - Street 1:4949 S ARIZONA AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-2714
Mailing Address - Country:US
Mailing Address - Phone:480-678-5656
Mailing Address - Fax:
Practice Address - Street 1:4949 S ARIZONA AVE STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-2714
Practice Address - Country:US
Practice Address - Phone:480-678-5656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental