Arizona Periodontal Group Pllc in Phoenix - Periodontics
Arizona Periodontal Group Pllc - NPI 1134338973
Arizona Periodontal Group Pllc is a Periodontics in Phoenix, Arizona. Arizona Periodontal Group Pllc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Arizona Periodontal Group Pllc is 1134338973. The last update date is 2013-02-22.
Arizona Periodontal Group Pllc's current location address is 1717 W Northern Ave, Phoenix, Arizona. You can contact this provider via phone number 6029955045 and fax number 6029953222. The mailing address for Arizona Periodontal Group Pllc is 1717 W Northern Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Arizona Periodontal Group Pllc |
|---|---|
| Address | 1717 W Northern Ave, Phoenix, Arizona |
| Phone Number | 6029955045 |
| Fax Number | 6029953222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trujillo Ariel |
| Credentials | D.M.D. |
| Telephone Number | 6029955045 |
NPI Number Detail
| NPI Number | 1134338973 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2013-02-22 |
Provider Mailing Address Detail
| Address | 1717 W Northern Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850215469 |
| Phone Number | 6029955045 |
| Fax Number | 6029953222 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Arizona Periodontal Group Pllc by the Centers for Medicare & Medicaid Services?
The Arizona Periodontal Group Pllc has been assigned the NPI (National Provider Identifier) 1134338973 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Arizona Periodontal Group Pllc?
The Arizona Periodontal Group Pllc is situated at 1717 W Northern Ave, in the city of Phoenix, state of AZ, with the zip code 850215469.
What is the area of specialization for Arizona Periodontal Group Pllc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Arizona Periodontal Group Pllc is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134338973 to Arizona Periodontal Group Pllc?
The Centers for Medicare & Medicaid Services assigned the 1134338973 to Arizona Periodontal Group Pllc on 2007-05-21.
As of what date were the details related to Arizona Periodontal Group Pllc most recently updated or revised?
The information pertaining to Arizona Periodontal Group Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-22.