| Fountains Family Dental Center | |
|
3930 S Alma School Rd Ste 6 Chandler AZ 85248-4510 | |
| (480) 222-8083 | |
| (480) 222-8084 |
| Full Name | Fountains Family Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 3930 S Alma School Rd Ste 6, Chandler, Arizona |
| Authorized Official Name and Position | Eric L Kerbs (MANAGING MEMBER) |
| Authorized Official Contact | 4807668486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountains Family Dental Center 3930 S Alma School Rd Ste 6 Chandler AZ 85248-4510 Ph: (480) 222-8083 | Fountains Family Dental Center 3930 S Alma School Rd Ste 6 Chandler AZ 85248-4510 Ph: (480) 222-8083 |
| NPI Number | 1700103538 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700103538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6458 (Arizona) | Primary |
| 1223G0001X | Dentist - General Practice | 6458 (Arizona) | Secondary |
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