| Arizona Pediatric Dental Care | |
|
3011 S Lindsay Rd 108 Gilbert AZ 85295-4332 | |
| (480) 917-9339 | |
| (480) 821-2980 |
| Full Name | Arizona Pediatric Dental Care |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3011 S Lindsay Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Jared W Welch (OWNER) |
| Authorized Official Contact | 4809179339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Pediatric Dental Care 3011 S Lindsay Rd 108 Gilbert AZ 85295-4332 Ph: (480) 917-9339 | Arizona Pediatric Dental Care 3011 S Lindsay Rd 108 Gilbert AZ 85295-4332 Ph: (480) 917-9339 |
| NPI Number | 1437500915 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437500915 | NPI | - | NPPES |
| 821497 | Medicaid | AZ | |
| 914227 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5685 (Arizona) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 8729 (Arizona) | Secondary |
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