| Head Pain Institute Llc | |
|
9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 | |
| (480) 945-3629 | |
| (480) 664-8972 |
| Full Name | Head Pain Institute Llc |
|---|---|
| Speciality | Dentist |
| Location | 9481 E Ironwood Square Dr Ste 100, Scottsdale, Arizona |
| Authorized Official Name and Position | Antonia Maria Teruel Castellon (OWNER) |
| Authorized Official Contact | 4809453629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Head Pain Institute Llc 9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 Ph: (480) 945-3629 | Head Pain Institute Llc 9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 Ph: (480) 945-3629 |
| NPI Number | 1609632678 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 02/26/2024 |
| Medicare PECOS PAC ID | 8123469301 |
|---|---|
| Medicare Enrollment ID | O20240520000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609632678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| Provider Name | Antonia Teruel Castellon |
|---|---|
| Provider Type | Practitioner - Orofacial Pain |
| Provider Identifiers | NPI Number: 1477829927 PECOS PAC ID: 2062798200 Enrollment ID: I20240520000679 |
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