NPI 1023284072

Simply Dental

Organisation Preferred Provider Organization Glendale, AZ

Practice location

Address: 10646 N 51st Ave, Glendale, AZ 85304-4343
Phone: (623) 878-0882
Fax: (623) 979-3043

Authorised official

Name: Teresa Blatt
Title: Office Manager
Phone: (623) 878-0882

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence D4955 (AZ)

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Registry record

NPI: 1023284072
Entity type: Organization
NPI issued: 30 Apr 2008
Record last updated: 30 Apr 2008

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.