- Practice location
- 16222 W Boca Raton RD, Surprise, AZ 85379-5073
- Phone
- 801-448-2346
- Fax
- —
- Last updated
- March 27, 2014
Abc Pediatric Dental Professional Corporation is a healthcare organization based in Surprise, AZ. Abc Pediatric Dental Professional Corporation practices in Surprise, AZ. The NPI Number for Abc Pediatric Dental Professional Corporation is 1710304654 and holds a License No. 6361 (AZ). The current practice location address for Abc Pediatric Dental Professional Corporation is 16222 W Boca Raton RD, Surprise, AZ 85379-5073 and can be reached out via phone at 801-448-2346.
Provider Profile Details
- NPI Number
- 1710304654
- Provider Name
- Abc Pediatric Dental Professional Corporation
- Provider Entity Type
- Organization
- Address
- 16222 W Boca Raton RD, Surprise, AZ 85379-5073
- Phone Number
- 801-448-2346
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Benjamin Menlove, DDS · President · 801-448-2346
- Provider Enumeration Date
- March 27, 2014
- Last Update Date
- March 27, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 16222 W Boca Raton RD
Surprise, AZ 85379-5073 - City
- Surprise
- State
- Arizona
- Zip
- 85379-5073
- Phone Number
- 801-448-2346
Provider Business Mailing Address Details
- Address
- 4444 W Thomas RD
Phoenix, AZ 85031-3728 - City
- Phoenix
- State
- AZ
- Zip
- 85031-3728
- Phone Number
- 801-448-2346
License Information
- License Number
- 6361
- 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 Abc Pediatric Dental Professional Corporation?
The NPI number of Abc Pediatric Dental Professional Corporation is 1710304654. It was assigned on March 27, 2014 and is currently active in the NPPES registry.
What is the specialty of Abc Pediatric Dental Professional Corporation?
Abc Pediatric Dental Professional Corporation is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in AZ under license number 6361.
Where does Abc Pediatric Dental Professional Corporation practice?
The practice location is 16222 W Boca Raton RD, Surprise, AZ 85379-5073. The office can be reached at 801-448-2346 (phone).
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 1710304654 directly on the NPPES registry website.