| Acacia Dental | |
|
7517 S. Mcclintock Dr. Suite 1006 Tempe AZ 85283-5011 | |
| (480) 831-7775 | |
| (480) 831-8108 |
| Full Name | Acacia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7517 S. Mcclintock Dr., Tempe, Arizona |
| Authorized Official Name and Position | Jeffrey Arthur Mathews (OWNER) |
| Authorized Official Contact | 4808317775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Dental 1321 E Krista Way Tempe AZ 85284-1658 Ph: (480) 831-7775 | Acacia Dental 7517 S. Mcclintock Dr. Suite 1006 Tempe AZ 85283-5011 Ph: (480) 831-7775 |
| NPI Number | 1891907630 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891907630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4342 (Arizona) | Secondary |
| 261QD0000X | Clinic/center - Dental | 4342 (Arizona) | Primary |
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