| Peoria Endodontics | |
|
1277 E Missouri Ave Suite 202 Phoenix AZ 85014-2915 | |
| (602) 297-1111 | |
| (602) 297-1110 |
| Full Name | Peoria Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1277 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Steven Thompson Swager (OWNER) |
| Authorized Official Contact | 6022971111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoria Endodontics 1277 E Missouri Ave Suite 202 Phoenix AZ 85014-2917 Ph: (602) 297-1111 | Peoria Endodontics 1277 E Missouri Ave Suite 202 Phoenix AZ 85014-2915 Ph: (602) 297-1111 |
| NPI Number | 1114132537 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 07/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114132537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | D6122 (Arizona) | Primary |
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