Aesthetic Family Dentistry PC
Dentist, General Practice in Phoenix, Arizona
1518105691- Practice location
- 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504
- Phone
- 480-515-0404
- Fax
- 480-515-2587
- Last updated
- January 28, 2009
Aesthetic Family Dentistry PC is a healthcare organization based in Phoenix, AZ. The NPI number for Aesthetic Family Dentistry PC is 1518105691 and holds license No. 4906 (AZ). The current practice location address is 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504 and the office can be reached by phone at 480-515-0404 and by fax at 480-515-2587. The NPI was assigned on January 28, 2009 and the record was last updated in NPPES on January 28, 2009.
●Provider Profile Details
- NPI Number
- 1518105691
- Provider Name
- Aesthetic Family Dentistry PC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- Yes
- Parent Organization
- Aesthetic Family Dentistry PC
- Authorized Official
- Dr. Russell W. Roderick, DMD · Doctor · 480-515-0404
- Enumeration Date
- January 28, 2009
- Last Update Date
- January 28, 2009
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504 - City
- Phoenix
- State
- Arizona
- ZIP
- 85050-7504
- Country
- US
- Phone Number
- 480-515-0404
- Fax Number
- 480-515-2587
✉Business Mailing Address
- Address
- 26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504 - City
- Phoenix
- State
- AZ
- ZIP
- 85050-7504
- Phone Number
- 480-515-0404
- Fax Number
- 480-515-2587
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice 193400000X - Single Specialty Group | 1223G0001X | Yes | 4906 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?Frequently Asked Questions
What is the NPI number of Aesthetic Family Dentistry PC?
The NPI number of Aesthetic Family Dentistry PC is 1518105691. It was assigned on January 28, 2009 and is currently active in the NPPES registry.
What is the specialty of Aesthetic Family Dentistry PC?
Aesthetic Family Dentistry PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X) and holds license No. 4906 (AZ).
Where does Aesthetic Family Dentistry PC practice?
The practice location is 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504. The office can be reached at 480-515-0404 (phone) or 480-515-2587 (fax).
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 1518105691 directly on the NPPES registry website at npiregistry.cms.hhs.gov.