| Surprise Endodontics | |
|
15294 W Brookside Ln Suite 100 Surprise AZ 85374-3999 | |
| (623) 376-7400 | |
| (623) 376-7489 |
| Full Name | Surprise Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 15294 W Brookside Ln, Surprise, Arizona |
| Authorized Official Name and Position | Louise Norris (OFFICE MANAGER) |
| Authorized Official Contact | 6233767400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Endodontics 15294 W Brookside Ln Suite 100 Surprise AZ 85374-3999 Ph: (623) 376-7400 | Surprise Endodontics 15294 W Brookside Ln Suite 100 Surprise AZ 85374-3999 Ph: (623) 376-7400 |
| NPI Number | 1649303785 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649303785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 1005639 (Arizona) | Primary |
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