| Black Mountain Endodontics | |
|
21755 N 77th Ave Ste 1210 Peoria AZ 85382-2112 | |
| (623) 248-0899 | |
| (623) 248-9951 |
| Full Name | Black Mountain Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 21755 N 77th Ave Ste 1210, Peoria, Arizona |
| Authorized Official Name and Position | Cody Heslington (OWNER/ENDODONTIST) |
| Authorized Official Contact | 8013185264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Mountain Endodontics 21755 N 77th Ave Ste 1210 Peoria AZ 85382-2112 Ph: (623) 248-0899 | Black Mountain Endodontics 21755 N 77th Ave Ste 1210 Peoria AZ 85382-2112 Ph: (623) 248-0899 |
| NPI Number | 1538829973 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 09/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538829973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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