| Arizona Dental Professionals, P.c. | |
|
14815 W Bell Rd Ste 202 Surprise AZ 85374-7611 | |
| (623) 547-5400 | |
| Not Available |
| Full Name | Arizona Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 14815 W Bell Rd Ste 202, Surprise, Arizona |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Dental Professionals, P.c. 14815 W Bell Rd Ste 202 Surprise AZ 85374-7611 Ph: () - | Arizona Dental Professionals, P.c. 14815 W Bell Rd Ste 202 Surprise AZ 85374-7611 Ph: (623) 547-5400 |
| NPI Number | 1154938678 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Medicare PECOS PAC ID | 9335429596 |
|---|---|
| Medicare Enrollment ID | O20201118000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154938678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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