NPI 1013438100
Bryce E Slack
Practice location
- Address
- 5400 W Northern Ave STE 202, Glendale, AZ 85301-1591
- Phone
- (623) 500-5793
- Fax
- (623) 321-1030
- Mailing address
- 9169 W Alex Ave, Peoria, AZ 85382-8344
Registered specialties (2)
General Practice Dentistry
Primary
General Practice Dentistry
Registry record
- NPI
- 1013438100
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 29 Jun 2017
- Record last updated
- 20 Feb 2025
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.