institution
Arizona Pediatric Dentistry And Orthodontic
Pediatric Dentist in Phoenix, Arizona
NPI 1619021490

Arizona Pediatric Dentistry And Orthodontic is a Pediatric Dentist based in Phoenix, AZ and is specialized in Pediatric Dentistry. Arizona Pediatric Dentistry And Orthodontic practices in Phoenix, AZ. The NPI Number for Arizona Pediatric Dentistry And Orthodontic is 1619021490 and holds a License No. D3801 (Arizona).

The current practice location address for Arizona Pediatric Dentistry And Orthodontic is 4145 N 108Th Ave, Phoenix, AZ and can be reached out via phone at 623-344-2000 and via fax at 623-344-2007.

Location: 4145 N 108Th Ave, Phoenix, AZ, 85037-5463
institution
Provider Profile Details
NPI Number
1619021490
Provider Name
Arizona Pediatric Dentistry And Orthodontic
Credential
Provider Entity Type
Organization
Address
4145 N 108Th Ave, Phoenix, AZ, 85037-5463
Phone Number
623-344-2000
Fax Number
623-344-2007
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F00359 05 AZ
institution
Provider Business Practice Location Address Details
Address
4145 N 108Th Ave
City
State
Zip
85037-5463
Phone Number
623-344-2000
Fax Number
623-344-2007
person
Provider Business Mailing Address Details
Address
4145 N 108Th Ave
City
State
Zip
85037-5463
Phone Number
623-344-2000
Fax Number
623-344-2007
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
D3801 (Arizona)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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