Valley Endodontics And Oral Surgery | |
702 E Bell Rd Ste 111 Phoenix AZ 85022-6639 | |
(602) 404-3800 | |
(602) 404-0983 |
Full Name | Valley Endodontics And Oral Surgery |
---|---|
Speciality | Dentist - Endodontics |
Location | 702 E Bell Rd Ste 111, Phoenix, Arizona |
Authorized Official Name and Position | Deborah Henebry (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 6027344518 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Valley Endodontics And Oral Surgery 8121 E Indian Bend Rd Ste 128 Scottsdale AZ 85250-4820 Ph: (026) 734-4518 | Valley Endodontics And Oral Surgery 702 E Bell Rd Ste 111 Phoenix AZ 85022-6639 Ph: (602) 404-3800 |
NPI Number | 1659308641 |
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Provider Enumeration Date | 06/27/2006 |
Last Update Date | 04/28/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659308641 | NPI | - | NPPES |
1164880779 | Medicaid | AZ | |
1326230632 | Medicaid | AZ | |
1548791486 | Medicaid | AZ | |
1700298262 | Medicaid | AZ | |
1013359603 | Medicaid | AZ | |
1174922025 | Medicaid | AZ | |
1336281856 | Medicaid | AZ | |
1699749978 | Medicaid | AZ | |
1740486737 | Medicaid | AZ | |
1477520146 | Medicaid | AZ | |
1558600643 | Medicaid | AZ | |
1205192663 | Medicaid | AZ | |
1366857518 | Medicaid | AZ | |
1679878938 | Medicaid | AZ | |
1518218825 | Medicaid | AZ | |
1770937146 | Medicaid | AZ | |
1649313313 | Medicaid | AZ | |
1730486630 | Medicaid | AZ | |
1821260951 | Medicaid | AZ | |
1972713493 | Medicaid | AZ | |
1548657315 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | 4411 (Arizona) | Primary |
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