Arizona Dental Professionals, P.c.

NPI #1174262992 in Surprise, Arizona

Provider Information

NPI Number: 1174262992
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: May 31, 2022
Last Updated: May 31, 2022

Practice Location

Address: 13983 W WADDELL RD STE 104
City: Surprise
State: Arizona
ZIP Code: 85379-8735
Phone: (623) 232-3215

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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