Buckeye Pediatric Partners and Orthodontics

NPI #1659652311 in Buckeye, Arizona

Provider Information

NPI Number: 1659652311
Entity Type: Organization
Organization Name: Buckeye Pediatric Partners and Orthodontics
Primary Specialty: Dentist - Pediatric Dentistry
Enumeration Date: Sep 7, 2011
Last Updated: Sep 7, 2011

Practice Location

Address: 675 S WATSON RD STE 106
City: Buckeye
State: Arizona
ZIP Code: 85326-3446
Phone: (623) 386-5430

Authorized Official

Name: DR. LONNY D CARMICHAEL, DDS
Title: OWNER DOCTOR
Phone: (623) 386-5430

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X	Primary

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