Mill Avenue Family Dentistry Pc in Tempe - General Practice
Mill Avenue Family Dentistry Pc - NPI 1245309640
Mill Avenue Family Dentistry Pc is a General Practice in Tempe, Arizona. Mill Avenue Family Dentistry Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mill Avenue Family Dentistry Pc is 1245309640. The last update date is 2012-04-26.
Mill Avenue Family Dentistry Pc's current location address is 1712 E Guadalupe Rd, Tempe, Arizona. You can contact this provider via phone number 4808298200 and fax number 4809675252. The mailing address for Mill Avenue Family Dentistry Pc is 1712 E Guadalupe Rd, Tempe, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mill Avenue Family Dentistry Pc |
|---|---|
| Address | 1712 E Guadalupe Rd, Tempe, Arizona |
| Phone Number | 4808298200 |
| Fax Number | 4809675252 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tracy Stacy |
| Credentials | DDS |
| Telephone Number | 4808298200 |
NPI Number Detail
| NPI Number | 1245309640 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2012-04-26 |
Provider Mailing Address Detail
| Address | 1712 E Guadalupe Rd |
|---|---|
| City | Tempe |
| State | Arizona (AZ) |
| Post Code | 852833983 |
| Phone Number | 4808298200 |
| Fax Number | 4809675252 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: 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. |
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What is the unique identifier code issued to Mill Avenue Family Dentistry Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Mill Avenue Family Dentistry Pc has been assigned the NPI (National Provider Identifier) 1245309640. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mill Avenue Family Dentistry Pc's physical address?
The Mill Avenue Family Dentistry Pc is physically located at 1712 E Guadalupe Rd, in the city of Tempe, AZ, with the postal code 852833983.
What is the Mill Avenue Family Dentistry Pc's area of specialization and corresponding taxonomy classification?
The Mill Avenue Family Dentistry Pc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Mill Avenue Family Dentistry Pc receive the assignment of its 1245309640 from the Centers for Medicare & Medicaid Services?
The Mill Avenue Family Dentistry Pc was issued its 1245309640 by the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the details pertaining to Mill Avenue Family Dentistry Pc last refreshed?
The information related to the Mill Avenue Family Dentistry Pc, including its address, specialty, and other relevant details, was last updated on 2012-04-26.
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