| Four Peaks Family Dentistry | |
|
3666 N Miller Rd 109 Scottsdale AZ 85251-4599 | |
| (480) 994-9485 | |
| (480) 481-3800 |
| Full Name | Four Peaks Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3666 N Miller Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Robert Clark (DOCTOR) |
| Authorized Official Contact | 4809949485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Peaks Family Dentistry 3666 N Miller Rd 109 Scottsdale AZ 85251-4599 Ph: (480) 994-9485 | Four Peaks Family Dentistry 3666 N Miller Rd 109 Scottsdale AZ 85251-4599 Ph: (480) 994-9485 |
| NPI Number | 1528250693 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 08/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528250693 | NPI | - | NPPES |
| 619934 | Medicaid | AZ | |
| 955940 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6575 (Arizona) | Primary |
| 261QD0000X | Clinic/center - Dental | 5498 (Arizona) | Secondary |
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