PLEASANT PEDIATRIC DENTISTRY NPI 1396137923

NPI Information

PLEASANT PEDIATRIC DENTISTRY is a point of service in Peoria, AZ. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PLEASANT PEDIATRIC DENTISTRY NPI is 1396137923. The provider is registered as an organization entity type.

The provider's business location address is:

9840 W YEARLING RD
SUITE 1240
PEORIA, AZ
ZIP 85383-377
Phone: (623) 572-9300
Fax: (623) 572-9301

The provider's authorized official is Gregory Whelan .
The authorized official title is Owner/dentist and has the following contact phone number (623) 572-9300.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 2/18/2015.

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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