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 provides Dentist services 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