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Jan Josephson
General Practice Dentistry in Phoenix, Arizona
NPI 1780786343

Jan Josephson is a General Practice Dentistry based in Pasadena, AZ and is specialized in General Practice. Jan Josephson practices in Phoenix, AZ. The NPI Number for Jan Josephson is 1780786343 and holds a License No. 001433 (Arizona).

The current practice location address for Jan Josephson is 4212 N 16Th St, Phoenix, AZ and can be reached out via phone at 602-263-1511 and via fax at 602-263-1637.

Location: 4212 N 16Th St, Phoenix, AZ, 91110-0698
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Provider Profile Details
NPI Number
1780786343
Provider Name
Jan Josephson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4212 N 16Th St, Phoenix, AZ, 91110-0698
Phone Number
602-263-1511
Fax Number
602-263-1637
Provider Enumeration Date
09/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0471626 01 AZ BCBS
471566 05 AZ
institution
Provider Business Practice Location Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1511
Fax Number
602-263-1637
person
Provider Business Mailing Address Details
Address
4212 N 16Th St
City
State
Zip
85016-5319
Phone Number
602-263-1511
Fax Number
602-263-1637
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
001433 (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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