| 7-7 Phoenix Dental Inc | |
|
7102 N 35th Ave Ste 1 Phoenix AZ 85051-8390 | |
| (602) 777-3777 | |
| Not Available |
| Full Name | 7-7 Phoenix Dental Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7102 N 35th Ave Ste 1, Phoenix, Arizona |
| Authorized Official Name and Position | John Lundgreen (MEMBER) |
| Authorized Official Contact | 4802959234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 7-7 Phoenix Dental Inc 7205 E Southern Ave Ste A-122 Mesa AZ 85209-2790 Ph: (480) 295-9234 | 7-7 Phoenix Dental Inc 7102 N 35th Ave Ste 1 Phoenix AZ 85051-8390 Ph: (602) 777-3777 |
| NPI Number | 1396380036 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 07/20/2021 |
| Medicare PECOS PAC ID | 5294144580 |
|---|---|
| Medicare Enrollment ID | O20210518001392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396380036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Bradley Colin Smith |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851952790 PECOS PAC ID: 2668871963 Enrollment ID: I20210518002291 |
| Provider Name | Alhareth Dhari |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740772706 PECOS PAC ID: 0143614362 Enrollment ID: I20220303000821 |
| Provider Name | Ennsen Dj Murao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972097574 PECOS PAC ID: 2264850650 Enrollment ID: I20220914003746 |
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