Provider Demographics
NPI:1528452968
Name:SILVERTREE DENTISTRY
Entity type:Organization
Organization Name:SILVERTREE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TZVETELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MLADENOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-216-0100
Mailing Address - Street 1:1043 E MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2663
Mailing Address - Country:US
Mailing Address - Phone:602-216-0100
Mailing Address - Fax:
Practice Address - Street 1:1043 E MISSOURI AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2663
Practice Address - Country:US
Practice Address - Phone:602-216-0100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental