| Wellness Dental | |
|
2900 W Ray Rd Ste 3 Chandler AZ 85224-7342 | |
| (480) 393-0687 | |
| Not Available |
| Full Name | Wellness Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 W Ray Rd Ste 3, Chandler, Arizona |
| Authorized Official Name and Position | Tracy H Tran (PRINCIPAL) |
| Authorized Official Contact | 4082345099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Dental 2900 W Ray Rd Ste 3 Chandler AZ 85224-7342 Ph: (480) 393-0687 | Wellness Dental 2900 W Ray Rd Ste 3 Chandler AZ 85224-7342 Ph: (480) 393-0687 |
| NPI Number | 1700245974 |
|---|---|
| Provider Enumeration Date | 02/16/2016 |
| Last Update Date | 11/04/2022 |
| Medicare PECOS PAC ID | 8426426164 |
|---|---|
| Medicare Enrollment ID | O20221130001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700245974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 162068 (Arizona) | Primary |
| Provider Name | Han Choi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891040028 PECOS PAC ID: 6103186390 Enrollment ID: I20211006001929 |
| Provider Name | Peter Gerard Garcia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1336350529 PECOS PAC ID: 7911210570 Enrollment ID: I20231215002684 |
| Provider Name | Matthew Jensen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831438787 PECOS PAC ID: 4183055767 Enrollment ID: I20231229002941 |
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