Renew Dental Pllc in Phoenix - Prosthodontics
Renew Dental Pllc - NPI 1245252287
Renew Dental Pllc is a Prosthodontics in Phoenix, Arizona. Renew Dental Pllc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Renew Dental Pllc is 1245252287. The last update date is 2021-04-30.
Renew Dental Pllc's current location address is 301 E Bethany Home Rd Ste C194, Phoenix, Arizona. You can contact this provider via phone number 6022779088 and fax number 6022778889. The mailing address for Renew Dental Pllc is 301 E Bethany Home Rd Ste C194, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Renew Dental Pllc |
|---|---|
| Address | 301 E Bethany Home Rd Ste C194, Phoenix, Arizona |
| Phone Number | 6022779088 |
| Fax Number | 6022778889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROSTHODON |
|---|---|
| Authorized Official Name | Benting Gary Douglas |
| Credentials | DDS, MS |
| Telephone Number | 6022779088 |
NPI Number Detail
| NPI Number | 1245252287 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2021-04-30 |
Provider Mailing Address Detail
| Address | 301 E Bethany Home Rd Ste C194 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850121266 |
| Phone Number | 6022779088 |
| Fax Number | 6022778889 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 6755 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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Post Comment/ Review Below
What is the unique identifier code issued to Renew Dental Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Renew Dental Pllc has been assigned the NPI (National Provider Identifier) 1245252287. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Renew Dental Pllc's physical address?
The Renew Dental Pllc is physically located at 301 E Bethany Home Rd Ste C194, in the city of Phoenix, AZ, with the postal code 850121266.
What is the Renew Dental Pllc's specialty and taxonomy code?
The Renew Dental Pllc's specialty is Prosthodontics, and the corresponding taxonomy code is 1223P0700X.
When did the Renew Dental Pllc receive its 1245252287?
The Renew Dental Pllc was issued its 1245252287 on 2006-07-25, which is the date when the organization was assigned this unique identifier.
When was the Renew Dental Pllc's information last updated?
The Renew Dental Pllc's information was last updated on 2021-04-30.
NPI Number: 1063415297
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