DR WISDOM TEETH NPI 1992298533

NPI Information

NPI: 1992298533
Provider Name: DR WISDOM TEETH

Doing Business As: DR WISDOM TEETH

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
287 E HUNT HWY STE 101
SAN TAN VALLEY, AZ
ZIP 85143
Phone: (833) 394-7366
Get Directions

DR WISDOM TEETH is a dental clinic center in San Tan Valley, AZ. DR WISDOM TEETH NPI is 1992298533. The provider is registered as an organization entity type.
The provider Is Doing Business As Dr Wisdom Teeth.

The provider's business location address is:

287 E HUNT HWY STE 101
SAN TAN VALLEY, AZ
ZIP 85143-096
Phone: (833) 394-7366

The provider's authorized official is Jeffrey Fenn .
The authorized official title is Owner and has the following contact phone number (702) 325-7627.

The enumeration date for this NPI number is 6/8/2018 and was last updated on 6/8/2018.

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	D009399	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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