Associated Dental Care Providers, LLC
Dentist, General Practice in Sun City, AZ. Organization (NPI-2).
NPI number1992848964
StatusActive
Last updated in NPPESSep 18, 2023
Details
- NPI
- 1992848964
- Entity type
- Organization (NPI-2)
- Legal business name
- Associated Dental Care Providers, LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2007
- Certification date
- Sep 18, 2023
- Last updated
- Sep 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Associated Dental Care Sun City (Doing Business As)
Practice location
14650 N Del Webb BlvdSun City, AZ 85351-2147
Phone 623-876-8011 · Fax 623-876-8902
Mailing address
14650 N Del Webb BlvdSun City, AZ 85351-2147
Phone 623-876-8011 · Fax 623-876-8902
Authorized official
Hannah Fish
Credentialing Manager
2175405699
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