Arizona Dental Professionals, P.c.

NPI #1104637438 in Gilbert, Arizona

Provider Information

NPI Number: 1104637438
Entity Type: Organization
Organization Name: Arizona Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ARIZONA DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2025
Last Updated: Jan 16, 2025

Practice Location

Address: 5656 S POWER RD STE 142
City: Gilbert
State: Arizona
ZIP Code: 85295-8490
Phone: (480) 780-9080

Authorized Official

Name: HILLARY THULL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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