Provider Demographics
NPI:1083819148
Name:NORTH SCOTTSDALE CHILDREN'S DENTISTRY
Entity type:Organization
Organization Name:NORTH SCOTTSDALE CHILDREN'S DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:WEXLER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-515-9599
Mailing Address - Street 1:9360 E RAINTREE DR STE 107
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2099
Mailing Address - Country:US
Mailing Address - Phone:480-515-9599
Mailing Address - Fax:480-515-9799
Practice Address - Street 1:9360 E RAINTREE DR STE 107
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2099
Practice Address - Country:US
Practice Address - Phone:480-515-9599
Practice Address - Fax:480-515-9799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD61431223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty