Arizona Dental Professionals, P.c.

NPI #1407311244 in Maricopa, Arizona

Provider Information

NPI Number: 1407311244
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: Feb 6, 2019
Last Updated: Apr 10, 2019

Practice Location

Address: 44565 W EDISON RD STE A
City: Maricopa
State: Arizona
ZIP Code: 85138-6401
Phone: (520) 208-6059

Authorized Official

Name: JESSICA BRITT
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5100

Specialties & Taxonomy Codes

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

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