| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4120 N 197th Ave, Buckeye, Arizona |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4120 N 197th Ave Buckeye AZ 85396-8428 Ph: (623) 289-1873 | 4120 N 197th Ave Buckeye AZ 85396 Ph: (480) 696-8353 |
| NPI Number | 1659875698 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659875698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Canyon Trails Family Dental- Verrado Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20800 W Market St Ste 107, Buckeye, AZ 85396 Phone: 623-401-2959 | |
Sonoran Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 S Watson Rd Ste 201, Buckeye, AZ 85326 Phone: 623-242-4205 | |
Sandstone Oral Maxillofacial Surgery Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20755 W Mcdowell Rd # 111, Buckeye, AZ 85396 Phone: 623-439-2222 |