Organization · Type 2 NPI

Scottsdale Implant and Cosmetic Dentistry LLC

Dental Clinic/Center · Scottsdale, AZ

NPI number 1134616378 Active

Practice location

4910 E Greenway Rd Ste 7
Scottsdale, AZ 85254-1653

Call (480) 200-3453 Map

Mailing address

7547 S Frontier St
Gilbert, AZ 85298-0130

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	D009808 (AZ)

Dental Clinic/Center: Definition to come...

Another provider at this address

Cesar Martinez, DMDDentist Scottsdale, AZ NPI 1417678608

Other dental clinic/center providers in Scottsdale

See all in Scottsdale →

NPI record

NPI: 1134616378
Entity type: Organization (Type 2)
Issued: Apr 13, 2018
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Valley Implant Centers PLLC

Other names

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Scottsdale Implant and Cosmetic Dentistry · doing business as

Authorized official

Mrs. Portia L Fredstrup
Owner
(602) 303-5827

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1134616378

Scottsdale Implant and Cosmetic Dentistry LLC's National Provider Identifier is 1134616378, issued on Apr 13, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Scottsdale, AZ. The record was last updated on Jun 16, 2018.