MEDICARE: DENNIS KAY LLOYD DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2454	AZ

General Provider Information

NPI Number	:	1215945340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS KAY LLOYD DDS

Provider Business Mailing Address
First Line	:	3960 E UNIVERSITY DR #101
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85205
Country	:	US
Telephone Number	:	480-830-8686
Fax Number	:	480-830-8899

Provider Business Practice Location Address
First Line	:	3940 E UNIVERSITY DR
Second Line	:	SUITE 2
City	:	MESA
State	:	AZ
Zip	:	85205-6945
Country	:	US
Telephone Number	:	480-830-8686
Fax Number	:	480-830-8899

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	03/07/2013

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