NPI 1003872680

North Stapely Dental Care

Organisation Dentist Mesa, AZ

Practice location

Address: 335 N Stapley Dr, Mesa, AZ 85203-8030
Phone: (480) 964-2662
Fax: (480) 649-9813

Authorised official

Name: Chet L Jenkins
Title: Owner
Phone: (480) 792-6880

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 5252 (AZ)

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Registry record

NPI: 1003872680
Entity type: Organization
NPI issued: 24 Apr 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.