Abc Pediatric Dental Professional Corporation
Dentist, General Practice in Surprise, Arizona
1710304654- 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. The NPI number for Abc Pediatric Dental Professional Corporation is 1710304654 and holds license No. 6361 (AZ). The current practice location address is 16222 W Boca Raton RD, Surprise, AZ 85379-5073 and the office can be reached by phone at 801-448-2346. The NPI was assigned on March 27, 2014 and the record was last updated in NPPES on March 27, 2014.
●Provider Profile Details
- NPI Number
- 1710304654
- Provider Name
- Abc Pediatric Dental Professional Corporation
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Benjamin Menlove, DDS · President · 801-448-2346
- Enumeration Date
- March 27, 2014
- Last Update Date
- March 27, 2014
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 16222 W Boca Raton RD
Surprise, AZ 85379-5073 - City
- Surprise
- State
- Arizona
- ZIP
- 85379-5073
- Country
- US
- Phone Number
- 801-448-2346
✉Business Mailing Address
- Address
- 4444 W Thomas RD
Phoenix, AZ 85031-3728 - City
- Phoenix
- State
- AZ
- ZIP
- 85031-3728
- Phone Number
- 801-448-2346
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice 193400000X - Single Specialty Group | 1223G0001X | Yes | 6361 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Surprise, AZ
View all providers in Surprise →?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) and holds license No. 6361 (AZ).
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 at npiregistry.cms.hhs.gov.