| John Patterson Dmd Plc | |
|
3245 W Ray Rd #6 Chandler AZ 85226-2438 | |
| (480) 280-6170 | |
| Not Available |
| Full Name | John Patterson Dmd Plc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 3245 W Ray Rd, Chandler, Arizona |
| Authorized Official Name and Position | John Patterson (OWNER) |
| Authorized Official Contact | 4802806170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Patterson Dmd Plc 3245 W Ray Rd #6 Chandler AZ 85226-2438 Ph: (480) 280-6170 | John Patterson Dmd Plc 3245 W Ray Rd #6 Chandler AZ 85226-2438 Ph: (480) 280-6170 |
| NPI Number | 1972969194 |
|---|---|
| Provider Enumeration Date | 01/04/2016 |
| Last Update Date | 03/22/2017 |
| Medicare PECOS PAC ID | 4880990548 |
|---|---|
| Medicare Enrollment ID | O20160411001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972969194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
| Provider Name | John Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528251402 PECOS PAC ID: 0446556013 Enrollment ID: I20160308001669 |
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