| Shea Dental | |
|
11111 N Scottsdale Rd Ste 120 Scottsdale AZ 85254-6731 | |
| (480) 998-3923 | |
| (480) 922-0864 |
| Full Name | Shea Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11111 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Alan Glen Siegel (PRESIDENT) |
| Authorized Official Contact | 6028821864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shea Dental 11111 N Scottsdale Rd Ste 120 Scottsdale AZ 85254-6731 Ph: (480) 998-3923 | Shea Dental 11111 N Scottsdale Rd Ste 120 Scottsdale AZ 85254-6731 Ph: (480) 998-3923 |
| NPI Number | 1487837472 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487837472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3816 (Arizona) | Primary |
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