| David Anderson Pllc | |
|
11126 W Wisconsin Ave Ste 1 Youngtown AZ 85363-1068 | |
| (480) 202-0644 | |
| Not Available |
| Full Name | David Anderson Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11126 W Wisconsin Ave Ste 1, Youngtown, Arizona |
| Authorized Official Name and Position | David Anderson (OWNER) |
| Authorized Official Contact | 4802020644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Anderson Pllc 11126 W Wisconsin Ave Ste 1 Youngtown AZ 85363-1068 Ph: () - | David Anderson Pllc 11126 W Wisconsin Ave Ste 1 Youngtown AZ 85363-1068 Ph: (480) 202-0644 |
| NPI Number | 1083186761 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083186761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
John E. Cooper, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11126 W Wisconsin Ave, Suite 1, Youngtown, AZ 85363 Phone: 623-933-3684 Fax: 623-933-1226 | |
Youngtown Denture Clinic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11100 W Michigan Ave, Youngtown, AZ 85363 Phone: 623-974-5629 Fax: 623-974-1770 |