| Az Specialty Dental Services, Llc | |
|
2330 N 75th Ave Ste 100 Phoenix AZ 85035-1200 | |
| (623) 849-0880 | |
| Not Available |
| Full Name | Az Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2330 N 75th Ave Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Charlotte Dasch (DIREC OF CRED AND PROV REL) |
| 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 2330 N 75th Ave Ste 100 Phoenix AZ 85035-1200 Ph: (623) 849-0880 |
| NPI Number | 1659137016 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659137016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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