| Phoenix Dental Center Pllc | |
|
1950 W Indian School Rd Ste 6 Phoenix AZ 85015-5114 | |
| (602) 650-1700 | |
| (602) 650-1704 |
| Full Name | Phoenix Dental Center Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1950 W Indian School Rd Ste 6, Phoenix, Arizona |
| Authorized Official Name and Position | Jason H Nordean (DENTIST) |
| Authorized Official Contact | 6026501700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Dental Center Pllc 1950 W Indian School Rd Ste 6 Phoenix AZ 85015-5114 Ph: (602) 650-1700 | Phoenix Dental Center Pllc 1950 W Indian School Rd Ste 6 Phoenix AZ 85015-5114 Ph: (602) 650-1700 |
| NPI Number | 1679974232 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679974232 | NPI | - | NPPES |
| 816919 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8657 (Arizona) | Primary |
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