Mary J. Brannock Dds Pc in Scottsdale - Dental

Mary J. Brannock Dds Pc - NPI 1548456924

Mary J. Brannock Dds Pc is a Dental in Scottsdale, Arizona. Mary J. Brannock Dds Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Mary J. Brannock Dds Pc is 1548456924. The last update date is 2007-09-19.

Mary J. Brannock Dds Pc's current location address is 13430 N Scottsdale Rd, Scottsdale, Arizona. You can contact this provider via phone number 4809220600 and fax number 4809220981. The mailing address for Mary J. Brannock Dds Pc is 13430 N Scottsdale Rd, Scottsdale, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mary J. Brannock Dds Pc
Address 13430 N Scottsdale Rd, Scottsdale, Arizona
Phone Number 4809220600
Fax Number 4809220981
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFICE MANA
Authorized Official Name Brannock W David
Telephone Number 4809220600

NPI Number Detail

NPI Number 1548456924
Provider Enumeration Date 2007-09-19
Last Updated Date 2007-09-19

Provider Mailing Address Detail

Address 13430 N Scottsdale Rd
City Scottsdale
State Arizona (AZ)
Post Code 852544057
Phone Number 4809220600
Fax Number 4809220981

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 4818
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1992874689 AZ DENTAL

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FAQs about Mary J. Brannock Dds Pc

What is the Mary J. Brannock Dds Pc's unique identification number?

The Mary J. Brannock Dds Pc has been assigned the NPI (National Provider Identifier) Number 1548456924 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Mary J. Brannock Dds Pc is physically located?

The Mary J. Brannock Dds Pc is situated at the following address: 13430 N Scottsdale Rd, Scottsdale, AZ 852544057.

What is the Mary J. Brannock Dds Pc's specialty and taxonomy code?

The Mary J. Brannock Dds Pc's specialty is Dental, and the corresponding taxonomy code is 261Qd0000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1548456924 to Mary J. Brannock Dds Pc?

The Mary J. Brannock Dds Pc received its 1548456924 assignment from the Centers for Medicare & Medicaid Services on 2007-09-19.

As of what date was the information pertaining to Mary J. Brannock Dds Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mary J. Brannock Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-19.

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