| Advanced Dental Group, Inc. | |
|
15440 N 7th St Suite 8 Phoenix AZ 85022-3535 | |
| (602) 504-6400 | |
| (602) 504-6300 |
| Full Name | Advanced Dental Group, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 15440 N 7th St, Phoenix, Arizona |
| Authorized Official Name and Position | Peter Spilotro (OWNER/PRESIDENT) |
| Authorized Official Contact | 6236809911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Group, Inc. 7217 W Camino De Oro Peoria AZ 85383-3266 Ph: (602) 504-6400 | Advanced Dental Group, Inc. 15440 N 7th St Suite 8 Phoenix AZ 85022-3535 Ph: (602) 504-6400 |
| NPI Number | 1255695813 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 06/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255695813 | NPI | - | NPPES |
| 835324 | Medicaid | AZ | |
| 633679 | Medicaid | AZ | |
| 639651 | Medicaid | AZ | |
| 996431 | Other | AZ | UNITED CONCORDIA |
| AZ0414080 | Other | AZ | BLUE CROSS BLUE SHIELD OF AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4664 (Arizona) | Secondary |
| 122300000X | Dentist | D5123 (Arizona) | Primary |
| 1223E0200X | Dentist - Endodontics | D5915 (Arizona) | Secondary |
Orthodontic Centers Of Az Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2330 N 75th Ave, #111, Phoenix, AZ 85035 Phone: 623-849-0880 Fax: 623-849-0329 | |
Prime Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5030 West Baseline Road, Phoenix, AZ 85339 Phone: 602-237-8880 | |
Sonrisas Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6524 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-247-7409 | |
Solterra Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15255 N 40th St Ste 111, Phoenix, AZ 85032 Phone: 602-788-0730 | |
Uptown Pediatric Dental Group, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014 Phone: 602-279-2981 | |
Purely Dental Surgery Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12320 N 32nd St Ste 2, Phoenix, AZ 85032 Phone: 602-354-5356 | |
Herring Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4203 E Indian School Rd Ste 220, Phoenix, AZ 85018 Phone: 870-267-2294 |