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Dr. Jody B Herschenhorn-dominick, DDS
General Practice Dentistry in Sacaton, Arizona
NPI 1770669939

Jody B Herschenhorn-dominick is a General Practice Dentistry based in Sacaton, AZ and is specialized in General Practice. Jody B Herschenhorn-dominick practices in Sacaton, AZ and has the professional credentials of DDS. The NPI Number for Jody B Herschenhorn-dominick is 1770669939 and holds a License No. 5247 (Arizona).

The current practice location address for Jody B Herschenhorn-dominick is 483 W. Seed Farm Rd., Sacaton, AZ and can be reached out via phone at 602-528-1200 and via fax at 602-528-1296.

Location: 483 W. Seed Farm Rd., Sacaton, AZ, 85147-0038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770669939
Provider Name
Jody B Herschenhorn-dominick
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
483 W. Seed Farm Rd., Sacaton, AZ, 85147-0038
Phone Number
602-528-1200
Fax Number
602-528-1296
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0479240 01 AZ BCBS PROVIDER NUMBER
873865 01 AZ UNITED CONCORDIA DENTAL
771768 05 AZ
institution
Provider Business Practice Location Address Details
Address
483 W. Seed Farm Rd.
City
Sacaton
State
Arizona
Zip
85147-0038
Phone Number
602-528-1200
Fax Number
602-528-1296
person
Provider Business Mailing Address Details
Address
483 W. Seed Farm Rd.
City
Sacaton
State
Arizona
Zip
85147-0038
Phone Number
602-528-1200
Fax Number
602-528-1296
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
5247 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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