| Paradise Ridge Family Dentistry Llc | |
|
15433 N Tatum Blvd Ste 200 Phoenix AZ 85032-4228 | |
| (602) 755-4691 | |
| Not Available |
| Full Name | Paradise Ridge Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15433 N Tatum Blvd Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Rodney Clark Tilley (OWNER/GM) |
| Authorized Official Contact | 6026954192 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Ridge Family Dentistry Llc 16627 S Lindsay Rd Gilbert AZ 85295-1501 Ph: (602) 695-4192 | Paradise Ridge Family Dentistry Llc 15433 N Tatum Blvd Ste 200 Phoenix AZ 85032-4228 Ph: (602) 755-4691 |
| NPI Number | 1841050267 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 03/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841050267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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