- Practice location
- 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504
- Phone
- 480-515-0404
- Fax
- 480-515-2587
- Last updated
- January 28, 2009
Aesthetic Family Dentistry PC is a healthcare organization based in Phoenix, AZ. Aesthetic Family Dentistry PC practices in Phoenix, AZ. The NPI Number for Aesthetic Family Dentistry PC is 1518105691 and holds a License No. 4906 (AZ). The current practice location address for Aesthetic Family Dentistry PC is 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504 and can be reached out via phone at 480-515-0404 and via fax at 480-515-2587.
Provider Profile Details
- NPI Number
- 1518105691
- Provider Name
- Aesthetic Family Dentistry PC
- Provider Entity Type
- Organization
- Address
- 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504
- Phone Number
- 480-515-0404
- Fax Number
- 480-515-2587
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- Yes
- Parent Organization
- Aesthetic Family Dentistry PC
- Authorized Official
- Dr. Russell W. Roderick, DMD · Doctor · 480-515-0404
- Provider Enumeration Date
- January 28, 2009
- Last Update Date
- January 28, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504 - City
- Phoenix
- State
- Arizona
- Zip
- 85050-7504
- Phone Number
- 480-515-0404
- Fax Number
- 480-515-2587
Provider Business Mailing Address Details
- Address
- 26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504 - City
- Phoenix
- State
- AZ
- Zip
- 85050-7504
- Phone Number
- 480-515-0404
- Fax Number
- 480-515-2587
License Information
- License Number
- 4906
- License State
- AZ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Aesthetic Family Dentistry PC?
The NPI number of Aesthetic Family Dentistry PC is 1518105691. It was assigned on January 28, 2009 and is currently active in the NPPES registry.
What is the specialty of Aesthetic Family Dentistry PC?
Aesthetic Family Dentistry PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in AZ under license number 4906.
Where does Aesthetic Family Dentistry PC practice?
The practice location is 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504. The office can be reached at 480-515-0404 (phone) or 480-515-2587 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518105691 directly on the NPPES registry website.