Organization · Type 2 NPI
J Stanley Reidhead DDS PC
Dental Clinic/Center · Tempe, AZ
NPI number
1104017326
Active
Practice location
2076 E Southern Ave, Suite C-103
Tempe, AZ 85282-7596
Fax (480) 775-8608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3344 (AZ) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1104017326
J Stanley Reidhead DDS PC's National Provider Identifier is 1104017326, issued on Aug 5, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tempe, AZ. The record was last updated on Aug 5, 2007.