| Canyon Dental | |
|
19251 E Oasis Dr Black Canyon City AZ 85324-8878 | |
| (162) 344-4232 | |
| Not Available |
| Full Name | Canyon Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 19251 E Oasis Dr, Black Canyon City, Arizona |
| Authorized Official Name and Position | Scott W Hirsbrunner (OWNER) |
| Authorized Official Contact | 6234442322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Dental 19251 E Oasis Dr Black Canyon City AZ 85324-8878 Ph: (162) 344-4232 | Canyon Dental 19251 E Oasis Dr Black Canyon City AZ 85324-8878 Ph: (162) 344-4232 |
| NPI Number | 1033690169 |
|---|---|
| Provider Enumeration Date | 08/27/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033690169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Black Canyon City Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 34501 S Old Black Canyon City Highway, Suite 5, Black Canyon City, AZ 85324 Phone: 623-374-0855 Fax: 623-374-0854 | |
Radiant Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19251 E Oasis Dr, Black Canyon City, AZ 85324 Phone: 623-526-2607 |