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NORTH SCOTTSDALE CHILDREN'S DENTISTRY & ORTHODONTICS NPI 1104931971


NPI Information

NPI: 1104931971
Provider Name: NORTH SCOTTSDALE CHILDREN'S DENTISTRY & ORTHODONTICS
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 03D1105990

Address:
9360 E RAINTREE DR
SUITE #107
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 515-9599
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NORTH SCOTTSDALE CHILDREN'S DENTISTRY & ORTHODONTICS is a pediatric dentistry dentist in Scottsdale, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NORTH SCOTTSDALE CHILDREN'S DENTISTRY & ORTHODONTICS NPI is 1104931971. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9360 E RAINTREE DR
SUITE #107
SCOTTSDALE, AZ
ZIP 85260-099
Phone: (480) 515-9599
Fax: (480) 515-9799

The provider's authorized official is Geri Weaver .
The authorized official title is Office Manager and has the following contact phone number (623) 362-1150.

The CLIA number assigned to this NPI record is 03D1105990 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry07-634197-QARIZONAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.