Individual provider · Type 1 NPI

Bryce E. Slack

General Practice Dentistry · Glendale, AZ

NPI number 1013438100 Active · reactivated May 10, 2023

Practice location

5400 W Northern Ave Ste 202
Glendale, AZ 85301-1591

Call (623) 500-5793 Map

Fax (623) 321-1030

Mailing address

9169 W Alex Ave
Peoria, AZ 85382-8344

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X6979 (OK)
General Practice Dentistry Primary 1223G0001XD010940 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1013438100

Bryce E. Slack's National Provider Identifier is 1013438100, issued on Jun 29, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Glendale, AZ. The record was last updated on Feb 20, 2025.