| Modern Family Dentistry | |
|
7200 W Bell Rd Ste C3 Glendale AZ 85308-8530 | |
| (623) 979-1900 | |
| Not Available |
| Full Name | Modern Family Dentistry |
|---|---|
| Speciality | Clinic/Center |
| Location | 7200 W Bell Rd Ste C3, Glendale, Arizona |
| Authorized Official Name and Position | Janne Marjorie Lynch (OWNER) |
| Authorized Official Contact | 4802793700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dentistry 7200 W Bell Rd Ste C3 Glendale AZ 85308-8530 Ph: () - | Modern Family Dentistry 7200 W Bell Rd Ste C3 Glendale AZ 85308-8530 Ph: (623) 979-1900 |
| NPI Number | 1073107884 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 11/27/2023 |
| Medicare PECOS PAC ID | 3971912650 |
|---|---|
| Medicare Enrollment ID | O20210510001766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073107884 | NPI | - | NPPES |
| Provider Name | Paul J Lynch |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1013061076 PECOS PAC ID: 7214038868 Enrollment ID: I20070726000108 |
| Provider Name | Bea Paula Salvanera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902493208 PECOS PAC ID: 8729491915 Enrollment ID: I20210107000987 |
| Provider Name | Janne Marjorie Lynch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336162049 PECOS PAC ID: 5698013753 Enrollment ID: I20210512003205 |
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