Dr. Kevin T Axx, DDS
Dentist, Endodontics in Phoenix, AZ. Individual provider (NPI-1).
NPI number1831294032
StatusActive
Last updated in NPPESAug 24, 2010
Details
- NPI
- 1831294032
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin T Axx
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2006
- Last updated
- Aug 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | D7377 | AZ | Yes |
| 1223E0200X | Dentist, Endodontics | 050281 | NY | |
| 1223E0200X | Dentist, Endodontics | DS036316 | PA |
Practice location
4141 N 32nd St Ste 100Phoenix, AZ 85018-4775
Phone 602-667-3600 · Fax 602-667-3611
Mailing address
1 E Lexington Ave Unit 1010Phoenix, AZ 85012-2494
Phone 602-667-3600 · Fax 602-667-3611
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