BASELINE DENTAL PC NPI 1083005136

NPI Information

BASELINE DENTAL, PC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BASELINE DENTAL, PC NPI is 1083005136. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2030 W BASELINE RD STE 176
PHOENIX, AZ
ZIP 85041-574
Phone: (770) 916-5031
Fax: (678) 247-7966

The provider's authorized official is Dale M. Mayfield .
The authorized official title is President and has the following contact phone number (770) 916-5031.

The enumeration date for this NPI number is 2/11/2015 and was last updated on 12/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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