| Paradise Valley Dental Group Pc | |
|
6865 E. Becker Lane #100 Scottsdale AZ 85254 | |
| (480) 483-8067 | |
| (480) 483-8471 |
| Full Name | Paradise Valley Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 6865 E. Becker Lane #100, Scottsdale, Arizona |
| Authorized Official Name and Position | Barry J Nestlerode (DENTIST - OWNER) |
| Authorized Official Contact | 4804838067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Valley Dental Group Pc 6865 E. Becker Lane #100 Scottsdale AZ 85254 Ph: (480) 483-8067 | Paradise Valley Dental Group Pc 6865 E. Becker Lane #100 Scottsdale AZ 85254 Ph: (480) 483-8067 |
| NPI Number | 1821135732 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821135732 | NPI | - | NPPES |
| 410439 | Other | AZ | UNITED CONCORDIA |
| 40649 | Other | AZ | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AZ4495 (Arizona) | Primary |
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