| Pimc Dental Services | |
|
4212 N 16th St Phoenix AZ 85016-5319 | |
| (602) 263-1200 | |
| (602) 263-1618 |
| Full Name | Pimc Dental Services |
|---|---|
| Speciality | Dentist |
| Location | 4212 N 16th St, Phoenix, Arizona |
| Authorized Official Name and Position | Deanna J. Dick ((CEO) CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6022631567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pimc Dental Services Po Box 31001-0698 Pasadena CA 91110-0698 Ph: (602) 263-1200 | Pimc Dental Services 4212 N 16th St Phoenix AZ 85016-5319 Ph: (602) 263-1200 |
| NPI Number | 1992819858 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992819858 | NPI | - | NPPES |
| 022062 | Medicaid | AZ | |
| P0206550 | Other | AZ | BCBSAZ |
| 092354 | Medicaid | AZ | |
| 418196 | Medicaid | AZ |
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