GOODYEAR ENDODONTICS P.C. NPI 1003070392

NPI Information

NPI: 1003070392
Provider Name: GOODYEAR ENDODONTICS, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1646 N LITCHFIELD RD
SUITE 260
GOODYEAR, AZ
ZIP 85395
Phone: (623) 535-7899
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GOODYEAR ENDODONTICS, P.C. is a dental clinic center in Goodyear, AZ. GOODYEAR ENDODONTICS, P.C. NPI is 1003070392. The provider is registered as an organization entity type.

The provider's business location address is:

1646 N LITCHFIELD RD
SUITE 260
GOODYEAR, AZ
ZIP 85395-203
Phone: (623) 535-7899
Fax: (623) 535-7821

The provider's authorized official is Robert Stephen Kane .
The authorized official title is President and has the following contact phone number (623) 535-7899.

The enumeration date for this NPI number is 7/15/2008 and was last updated on 7/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	3266	ARIZONA	Yes

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

NPI Synchronization or Removal

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