| Fletcher Heights Dental Care Pc | |
|
8272 W. Lake Pleasant Pkwy., #204 Peoria AZ 85382-7432 | |
| (623) 825-7833 | |
| (623) 362-9141 |
| Full Name | Fletcher Heights Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8272 W. Lake Pleasant Pkwy., #204, Peoria, Arizona |
| Authorized Official Name and Position | Michael A Prost (DENTIST) |
| Authorized Official Contact | 6238257833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fletcher Heights Dental Care Pc 8272 W. Lake Pleasant Pkwy., #204 Peoria AZ 85382-7432 Ph: (623) 825-7833 | Fletcher Heights Dental Care Pc 8272 W. Lake Pleasant Pkwy., #204 Peoria AZ 85382-7432 Ph: (623) 825-7833 |
| NPI Number | 1396772950 |
|---|---|
| Provider Enumeration Date | 06/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396772950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4974 (Arizona) | Primary |
| 1223G0001X | Dentist - General Practice | 12010098A (Indiana) | Secondary |
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