| Uptown Pediatric Dental Group, Pllc | |
|
1515 E Missouri Ave Ste 103 Phoenix AZ 85014-2443 | |
| (602) 279-2981 | |
| Not Available |
| Full Name | Uptown Pediatric Dental Group, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1515 E Missouri Ave Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Ernest Nehrer (OWNER DOCTOR) |
| Authorized Official Contact | 8312345526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Pediatric Dental Group, Pllc 7236 N 18th Pl Phoenix AZ 85020-5236 Ph: (312) 345-5526 | Uptown Pediatric Dental Group, Pllc 1515 E Missouri Ave Ste 103 Phoenix AZ 85014-2443 Ph: (602) 279-2981 |
| NPI Number | 1003458688 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 10/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003458688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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