Organization · Type 2 NPI
Queen Creek Implants & Periodontics
Periodontics · Queen Creek, AZ
NPI number
1639913692
Active
Practice location
22363 E Domingo Rd Ste 103
Queen Creek, AZ 85142-0353
Fax (480) 275-2404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | None listed |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1639913692
Queen Creek Implants & Periodontics's National Provider Identifier is 1639913692, issued on Jun 24, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Queen Creek, AZ. The record was last updated on Jul 15, 2024.