| Salt River Dental | |
|
10005 E Osborn Rd Scottsdale AZ 85256-4019 | |
| (602) 263-1200 | |
| (602) 263-1618 |
| Full Name | Salt River Dental |
|---|---|
| Speciality | Dentist |
| Location | 10005 E Osborn Rd, Scottsdale, 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 |
|---|---|
| Salt River Dental Po Box 31001-0698 Pasadena CA 91110-0698 Ph: (602) 263-1200 | Salt River Dental 10005 E Osborn Rd Scottsdale AZ 85256-4019 Ph: (602) 263-1200 |
| NPI Number | 1932274214 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932274214 | NPI | - | NPPES |
| 092353 | Medicaid | AZ | |
| P0109880 | Other | AZ | BCBSAZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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