| Arizona School Of Dentistry & Oral Health | |
|
5855 E Still Cir Mesa AZ 85206-3618 | |
| (480) 248-8100 | |
| (480) 248-8199 |
| Full Name | Arizona School Of Dentistry & Oral Health |
|---|---|
| Speciality | Dentist |
| Location | 5855 E Still Cir, Mesa, Arizona |
| Authorized Official Name and Position | Colleen Reidhead (DIRECTOR, BUSINESS OPERATIONS) |
| Authorized Official Contact | 4802196183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona School Of Dentistry & Oral Health 5835 E Still Cir Mesa AZ 85206-3618 Ph: (480) 219-6183 | Arizona School Of Dentistry & Oral Health 5855 E Still Cir Mesa AZ 85206-3618 Ph: (480) 248-8100 |
| NPI Number | 1285845776 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 10/17/2013 |
| Medicare PECOS PAC ID | 3971404120 |
|---|---|
| Medicare Enrollment ID | O20131101000594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285845776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D1226 (Arizona) | Primary |
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