| Canyon Vista Dental Care | |
|
110 S Idaho Rd Ste 260 Apache Junction AZ 85119-2379 | |
| (480) 982-0782 | |
| Not Available |
| Full Name | Canyon Vista Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 110 S Idaho Rd Ste 260, Apache Junction, Arizona |
| Authorized Official Name and Position | John Arthur Bigler (DOCTOR) |
| Authorized Official Contact | 4809820782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Vista Dental Care 110 S Idaho Rd Ste 260 Apache Junction AZ 85119-2379 Ph: (480) 982-0782 | Canyon Vista Dental Care 110 S Idaho Rd Ste 260 Apache Junction AZ 85119-2379 Ph: (480) 982-0782 |
| NPI Number | 1275654808 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 10/15/2014 |
| Medicare PECOS PAC ID | 8123341229 |
|---|---|
| Medicare Enrollment ID | O20141222001338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275654808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D2561 (Arizona) | Primary |
| Provider Name | John Bigler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1376660845 PECOS PAC ID: 5092937722 Enrollment ID: I20141222001410 |
| Provider Name | Andrew T Weir |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1356431118 PECOS PAC ID: 0345545133 Enrollment ID: I20160216000761 |
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