Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.
Dental Assistant
4212 N 16th St, Phoenix
Arizona, 85016-5319
602-263-1200 602-263-1619
Maps & DirectionsDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. is a Dental Assistant Clinic in Phoenix, Arizona. This organization is also known as sub part of Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. It is located at 4212 N 16th St, Phoenix, AZ and its contact number is 602-263-1200. The authorized person for Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. is Dr. Laura Tillman
who is Chief Medical Officer of the clinic and their contact number is 602-263-1674.
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. Clinic An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
Complete Clinic Profile:
Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. |
| Specialization: | Dental Assistant |
| Clinic Address: | 4212 N 16th St, Phoenix, Arizona, 85016-5319 |
| Phone: | 602-263-1200 |
| Fax: | 602-263-1619 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Laura Tillman |
| Position: | Chief Medical Officer |
| Contact Number: | 602-263-1674 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. clinic are as mentioned below.
| NPI Number: | 1992819858 |
| Parent Organization: | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
| NPI Enumeration Date: | 18 Aug, 2006 |
| NPI Last Update On: | 19 May, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | | | Primary | |
| Dental Assistant | | | Secondary | |
| Dental Public Health | | | Secondary | |
| Endodontics | | | Secondary | |
| Prosthodontics | | | Secondary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
| Dental Hygienist | | | Secondary | |
| Periodontics | | | Secondary | |
| Pediatric Dentistry | | | Secondary | |
| Oral and Maxillofacial Surgery | | | Secondary | |
| General Practice | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 022062 | Medicaid | Arizona | |
| P0206550 | Other | Arizona | Bcbsaz |
| 092354 | Medicaid | Arizona | |
| 418196 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. Po Box 95460, Cleveland, Ohio |
| Zip: | 44101-0033 |
| Phone Number: | 602-581-6076 |
| Fax Number: | 602-263-1619 |
Patients can reach Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. at
4212 N 16th St, Phoenix, Arizona or can
call to book an appointment on 602-263-1200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 June, 2026.