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ELLIOT ROAD DENTAL PLLC NPI 1588207591


NPI Information

NPI: 1588207591
Provider Name: ELLIOT ROAD DENTAL PLLC

Doing Business As: DO GOOD DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2010 E ELLIOT RD STE 105
TEMPE, AZ
ZIP 85284
Phone: (480) 839-7996
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ELLIOT ROAD DENTAL PLLC is a general practice dentist in Tempe, 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. ELLIOT ROAD DENTAL PLLC NPI is 1588207591. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Do Good Dental.

The provider's business location address is:

2010 E ELLIOT RD STE 105
TEMPE, AZ
ZIP 85284-790
Phone: (480) 839-7996

The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentialing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 10/22/2019 and was last updated on 10/31/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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