ON BROADWAY DENTISTRY NPI 1851857064

NPI Information

ON BROADWAY DENTISTRY is a general practice dentist in Mesa, 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. ON BROADWAY DENTISTRY NPI is 1851857064. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4435 E BROADWAY RD # 9
MESA, AZ
ZIP 85206-012
Phone: (480) 223-0255
Fax: (480) 654-0705

The provider's authorized official is Bennett Mankin .
The authorized official title is Ceo and has the following contact phone number (480) 636-0170.

The enumeration date for this NPI number is 2/12/2019 and was last updated on 2/7/2020.

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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