SURPRISE MODERN DENTISTRY LLP NPI 1376200261

NPI Information

SURPRISE MODERN DENTISTRY LLP is a general practice dentist in Surprise, 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. SURPRISE MODERN DENTISTRY LLP NPI is 1376200261. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13733 N PRASADA PKWY STE 108
SURPRISE, AZ
ZIP 85388-007
Phone: (623) 777-3329
Fax: (623) 900-2676

The provider's authorized official is Joshua J Shaw .
The authorized official title is Owner and has the following contact phone number (623) 777-3329.

The enumeration date for this NPI number is 11/26/2021 and was last updated on 11/26/2021.

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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