Provider Demographics
NPI:1962615088
Name:TURLEY, FREDERICK CHARLES (DDS)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:CHARLES
Last Name:TURLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:RICK
Other - Middle Name:
Other - Last Name:TURLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1102 S GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-2679
Mailing Address - Country:US
Mailing Address - Phone:480-969-0077
Mailing Address - Fax:480-835-1633
Practice Address - Street 1:1102 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2679
Practice Address - Country:US
Practice Address - Phone:480-969-0077
Practice Address - Fax:480-835-1633
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD3676122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist