Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Havasu Bdm Pak LLC

Organization Dentist · NPI 1912301425

Arizona Havasu Bdm Pak LLC is a Dentist in Lake Havasu, Arizona. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1799 N Kiowa Blvd Unit 109
Lake Havasu, AZ 86403
Phone: (928) 399-7711
Fax: (928) 399-7710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1912301425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roland Pischinger — Insurance Department Manager · (702) 522-2028
Other names Bridge Lake Dental; Bridge Lake Dental
NPI enumeratedOctober 13, 2014
Last updated in NPPESMay 31, 2018
Mailing address2101 S Jones Blvd Ste 140, Las Vegas, NV 89146-3133

Other providers in Lake Havasu