Organization · Type 2 NPI

Tatum BLVD Dentistry, LLC

Dentist · Phoenix, AZ

NPI number 1104034909 Active

Practice location

11110 N Tatum Blvd, Suite 102
Phoenix, AZ 85028-1607

Call (602) 977-1110 Map

Fax (602) 795-1420

Mailing address

2323 W Mescal St, Suite 205
Phoenix, AZ 85029-4764

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XD5926 (AZ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104034909

Tatum BLVD Dentistry, LLC's National Provider Identifier is 1104034909, issued on May 18, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.