Provider Demographics
NPI:1770734741
Name:INTEGRITY FIRST, INC
Entity type:Organization
Organization Name:INTEGRITY FIRST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-641-4567
Mailing Address - Street 1:2824 N. POWER RD.
Mailing Address - Street 2:#108
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-1673
Mailing Address - Country:US
Mailing Address - Phone:480-641-4567
Mailing Address - Fax:480-807-9982
Practice Address - Street 1:2824 N. POWER RD.
Practice Address - Street 2:#108
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-1673
Practice Address - Country:US
Practice Address - Phone:480-641-4567
Practice Address - Fax:480-807-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty