Individual provider · Type 1 NPI
Gregory A. Libby, DDS
Prosthodontics · Phoenix, AZ
NPI number
1124123005
Active
Practice location
20950 N Tatum Blvd Ste 340
Phoenix, AZ 85050-4256
Fax (480) 502-9847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 5457 (AZ) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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About NPI 1124123005
Gregory A. Libby, DDS's National Provider Identifier is 1124123005, issued on Sep 14, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.