| Children's Dental Specialty Group Llc | |
|
7600 E Camelback Rd Suite 8 Scottsdale AZ 85251-2106 | |
| (480) 282-6746 | |
| (602) 610-4737 |
| Full Name | Children's Dental Specialty Group Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7600 E Camelback Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Veronica M Martinez (OWNER/DOCTOR) |
| Authorized Official Contact | 4802826746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Specialty Group Llc 7600 E Camelback Rd Suite 8 Scottsdale AZ 85251-2106 Ph: (480) 282-6746 | Children's Dental Specialty Group Llc 7600 E Camelback Rd Suite 8 Scottsdale AZ 85251-2106 Ph: (480) 282-6746 |
| NPI Number | 1003224619 |
|---|---|
| Provider Enumeration Date | 07/27/2014 |
| Last Update Date | 11/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003224619 | NPI | - | NPPES |
| 719559 | Medicaid | AZ | |
| 533913 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D8006 (Arizona) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | D008464 (Arizona) | Secondary |
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