J Stanley Reidhead Dds Pc in Tempe - Dental

J Stanley Reidhead Dds Pc - NPI 1104017326

J Stanley Reidhead Dds Pc is a Dental in Tempe, Arizona. J Stanley Reidhead Dds Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for J Stanley Reidhead Dds Pc is 1104017326. The last update date is 2007-08-05.

J Stanley Reidhead Dds Pc's current location address is 2076 E Southern Ave, Tempe, Arizona. You can contact this provider via phone number 4808390366 and fax number 4807758608. The mailing address for J Stanley Reidhead Dds Pc is 2076 E Southern Ave, Tempe, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Organization J Stanley Reidhead Dds Pc
Address 2076 E Southern Ave, Tempe, Arizona
Phone Number 4808390366
Fax Number 4807758608
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Reidhead Stanley Joseph
Credentials D.D.S.
Telephone Number 4808390366

NPI Number Detail

NPI Number 1104017326
Provider Enumeration Date 2007-08-05
Last Updated Date 2007-08-05

Provider Mailing Address Detail

Address 2076 E Southern Ave
City Tempe
State Arizona (AZ)
Post Code 852827520
Phone Number 4808390366
Fax Number 4807758608

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 3344
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about J Stanley Reidhead Dds Pc

What is the unique identifier code issued to J Stanley Reidhead Dds Pc by the Centers for Medicare & Medicaid Services (CMS)?

The J Stanley Reidhead Dds Pc has been assigned the NPI (National Provider Identifier) 1104017326. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where J Stanley Reidhead Dds Pc's facilities are geographically located?

The facilities of J Stanley Reidhead Dds Pc are physically situated at the following location: 2076 E Southern Ave, Tempe, AZ, 852827520.

What is J Stanley Reidhead Dds Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The J Stanley Reidhead Dds Pc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.

On what date did the J Stanley Reidhead Dds Pc receive its 1104017326 assignment from the Centers for Medicare & Medicaid Services?

The J Stanley Reidhead Dds Pc was assigned its 1104017326 by the Centers for Medicare & Medicaid Services on 2007-08-05.

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

The information related to J Stanley Reidhead Dds Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-05.

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