| Az Specialty Dental Services, Llc | |
|
21300 N John Wayne Pkwy Ste 117 Maricopa AZ 85139-8978 | |
| (520) 316-6111 | |
| Not Available |
| Full Name | Az Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 21300 N John Wayne Pkwy Ste 117, Maricopa, Arizona |
| Authorized Official Name and Position | Charlotte Dasch (DIREC OF CRED AND PR) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Az Specialty Dental Services, Llc 21300 N John Wayne Pkwy Ste 117 Maricopa AZ 85139-8978 Ph: (520) 316-6111 |
| NPI Number | 1447090279 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447090279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Maricopa Kids Dentists And Orthodontics, Llp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41940 W Maricopa Casa Grande Hwy Ste 120, Maricopa, AZ 85138 Phone: 520-589-2919 Fax: 520-589-2732 | |
Smile Lines Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21300 N John Wayne Pkwy, Ste 108, Maricopa, AZ 85139 Phone: 520-494-7578 | |
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