| Scottsdale Facial & Oral Surgery Llc | |
|
3501 N Scottsdale Rd Ste 226 Scottsdale AZ 85251-5630 | |
| (480) 941-5005 | |
| (480) 946-0268 |
| Full Name | Scottsdale Facial & Oral Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 3501 N Scottsdale Rd Ste 226, Scottsdale, Arizona |
| Authorized Official Name and Position | Kelli Jimenez (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 4809415005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Facial & Oral Surgery Llc 3501 N Scottsdale Rd Ste 226 Scottsdale AZ 85251-5630 Ph: (480) 941-5005 | Scottsdale Facial & Oral Surgery Llc 3501 N Scottsdale Rd Ste 226 Scottsdale AZ 85251-5630 Ph: (480) 941-5005 |
| NPI Number | 1861032005 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 0840611729 |
|---|---|
| Medicare Enrollment ID | O20200601002533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861032005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | James E Bertz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609869049 PECOS PAC ID: 7012933369 Enrollment ID: I20051017000705 |
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