Organization · Type 2 NPI

Pleasant Pediatric Dentistry

Point of Service · Peoria, AZ

NPI number 1396137923 Active

Practice location

9840 W Yearling Rd, Suite 1240
Peoria, AZ 85383-1377

Fax (623) 572-9301

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X4741 (AZ)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1396137923

Pleasant Pediatric Dentistry's National Provider Identifier is 1396137923, issued on Feb 18, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Peoria, AZ. The record was last updated on Feb 18, 2015.