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SUSAN K OLES DMD PLLC NPI 1497058143


NPI Information

NPI: 1497058143
Provider Name: SUSAN K OLES DMD PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4611 E SHEA BLVD
SUITE 110
PHOENIX, AZ
ZIP 85028
Phone: (602) 840-2190
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SUSAN K OLES DMD PLLC is a general practice dentist in Phoenix, 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. SUSAN K OLES DMD PLLC NPI is 1497058143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4611 E SHEA BLVD
SUITE 110
PHOENIX, AZ
ZIP 85028-254
Phone: (602) 840-2190
Fax: (602) 808-0820

The provider's authorized official is Susan Kathryn Oles .
The authorized official title is Dentist and has the following contact phone number (602) 840-2190.

The enumeration date for this NPI number is 12/17/2010 and was last updated on 12/17/2010.


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
11223G0001XDentistGeneral PracticeD3823ARIZONAYes

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: 5/5/2024

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