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Dr. Tina Ptacek, DMD
Pediatric Dentist in Surprise, Arizona
NPI 1649403775

Tina Ptacek is a Pediatric Dentist based in Sun City West, AZ and is specialized in Pediatric Dentistry. Tina Ptacek practices in Surprise, AZ and has the professional credentials of DMD. The NPI Number for Tina Ptacek is 1649403775 and holds a License No. 32491 (Arizona).

The current practice location address for Tina Ptacek is 15180 N Cotton Ln Ste 104, Surprise, AZ and can be reached out via phone at 623-214-6543.

Location: 15180 N Cotton Ln Ste 104, Surprise, AZ, 85375-2372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649403775
Provider Name
Tina Ptacek
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
15180 N Cotton Ln Ste 104, Surprise, AZ, 85375-2372
Phone Number
623-214-6543
Fax Number
Provider Enumeration Date
08/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15180 N Cotton Ln Ste 104
City
Surprise
State
Arizona
Zip
85388-7000
Phone Number
623-214-6543
Fax Number
person
Provider Business Mailing Address Details
Address
15180 N Cotton Ln Ste 104
City
Surprise
State
Arizona
Zip
85388-7000
Phone Number
623-214-6543
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
32491 (Texas)
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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