Highrise Dental | |
3003 N Central Ave Ste 630 Phoenix AZ 85012-2905 | |
(602) 230-1161 | |
Not Available |
Full Name | Highrise Dental |
---|---|
Speciality | Dentist |
Location | 3003 N Central Ave Ste 630, Phoenix, Arizona |
Authorized Official Name and Position | Dana Perno (OWNER / DENTIST) |
Authorized Official Contact | 6022301161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Highrise Dental 3003 N Central Ave Ste 630 Phoenix AZ 85012-2905 Ph: (602) 230-1161 | Highrise Dental 3003 N Central Ave Ste 630 Phoenix AZ 85012-2905 Ph: (602) 230-1161 |
NPI Number | 1588363543 |
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Provider Enumeration Date | 02/28/2023 |
Last Update Date | 06/12/2023 |
Medicare PECOS PAC ID | 4486009230 |
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Medicare Enrollment ID | O20231013001311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588363543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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