OrganizationActive
Arizona Havasu Bdm Pak LLC
NPI 1912301425 · Dentist · Lake Havasu, AZ
Arizona Havasu Bdm Pak LLC is a Dentist organization in Lake Havasu, AZ (NPI 1912301425).
Provider details
- NPI number
- 1912301425
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Roland Pischinger, Insurance Department Manager(702) 522-2028
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1799 North Kiowa Blvd
Unit 109
Lake Havasu, AZ 86403
Phone: (928) 399-7711
Fax: (928) 399-7710
Street-level locationGet directions
Mailing address
2101 S Jones Blvd Ste 140
Las Vegas, NV 89146-3133
Other names (DBA / former)
- Doing business as
- Bridge Lake Dental
- Doing business as
- Bridge Lake Dental
Registry dates
- Enumerated
- 2014-10-13
- Last updated
- 2018-05-31
Frequently asked questions
- What is Arizona Havasu Bdm Pak LLC's NPI number?
- Arizona Havasu Bdm Pak LLC's National Provider Identifier (NPI) is 1912301425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Arizona Havasu Bdm Pak LLC?
- Arizona Havasu Bdm Pak LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Arizona Havasu Bdm Pak LLC located?
- Arizona Havasu Bdm Pak LLC's practice location on file with NPPES is 1799 North Kiowa Blvd, Lake Havasu, AZ 86403.
- What is Arizona Havasu Bdm Pak LLC's phone number?
- The practice phone number listed in the NPPES registry for Arizona Havasu Bdm Pak LLC is (928) 399-7711.
- Who is the authorized official for Arizona Havasu Bdm Pak LLC?
- The authorized official listed on Arizona Havasu Bdm Pak LLC's NPPES record is Roland Pischinger, Insurance Department Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Arizona Havasu Bdm Pak LLC's NPI active?
- Yes — Arizona Havasu Bdm Pak LLC's NPI (1912301425) is active in the NPPES registry as of the last update on 2018-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.