Individual provider · Type 1 NPI

Jodi Heacock, DDS

General Practice Dentistry · Phoenix, AZ

NPI number 1821051533 Active

Practice location

7006 S Central Ave
Phoenix, AZ 85042-5423

Call (602) 276-1029 Map

Fax (602) 276-1838

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD5405 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1821051533

Jodi Heacock, DDS's National Provider Identifier is 1821051533, issued on Apr 11, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 11, 2013.