institution
Phoenix Pediatric Dental, Llc
Pediatric Dentist in Phoenix, Arizona
NPI 1891875498

Phoenix Pediatric Dental, Llc is a Pediatric Dentist based in Phoenix, AZ and is specialized in Pediatric Dentistry. Phoenix Pediatric Dental, Llc practices in Phoenix, AZ. The NPI Number for Phoenix Pediatric Dental, Llc is 1891875498 and holds a License No. (Arizona).

The current practice location address for Phoenix Pediatric Dental, Llc is 6750 N 19Th Ave, Phoenix, AZ and can be reached out via phone at 602-242-5741 and via fax at 602-242-5742.

Location: 6750 N 19Th Ave, Phoenix, AZ, 85015-1127
institution
Provider Profile Details
NPI Number
1891875498
Provider Name
Phoenix Pediatric Dental, Llc
Credential
Provider Entity Type
Organization
Address
6750 N 19Th Ave, Phoenix, AZ, 85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
409926 05 AZ
627562 05 AZ
570475 05 AZ
883737 05 AZ
450924 05 AZ
796862 05 AZ
institution
Provider Business Practice Location Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
person
Provider Business Mailing Address Details
Address
6750 N 19Th Ave
City
State
Zip
85015-1127
Phone Number
602-242-5741
Fax Number
602-242-5742
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
(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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