| North Phoenix Pediatric Dentistry, Llc | |
|
1526 W Glendale Ave Ste 103 Phoenix AZ 85021-8576 | |
| (602) 864-1080 | |
| (602) 864-7036 |
| Full Name | North Phoenix Pediatric Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1526 W Glendale Ave Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | William Joseph Heimann (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 6028641080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Phoenix Pediatric Dentistry, Llc 1526 W Glendale Ave Ste 103 Phoenix AZ 85021-8576 Ph: (602) 864-1080 | North Phoenix Pediatric Dentistry, Llc 1526 W Glendale Ave Ste 103 Phoenix AZ 85021-8576 Ph: (602) 864-1080 |
| NPI Number | 1871098269 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871098269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2542 (Arizona) | Primary |
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