John J. Mehlem, Jr., DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1716 Issued in AZ

Legal business name

JOHN J. MEHLEM, JR., DMD, PC

Practice address

17250 N 43Rd Ave
Suite #1
Glendale, AZ 85308-4035

Phone

(602) 938-7750

Fax

(602) 938-0765

NPI assigned

May 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John J. Mehlem Jr., DMDNPI 1710062518

Title

President

Phone

(602) 938-7750

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Mehlem, DMD

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1710062518
  NPD (past) Authorized official
• Brian J Wilson, DDS

  • General Practice Dentistry
  • Glendale, AZ
  • NPI 1285719070
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013121128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE",
            "address_2": "SUITE #1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084035",
            "telephone_number": "602-938-7750",
            "fax_number": "602-938-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17250 N 43RD AVE",
            "address_2": "SUITE #1",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084035",
            "telephone_number": "602-938-7750",
            "fax_number": "602-938-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN J. MEHLEM, JR., DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHLEM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-938-7750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "1716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Lincoln, LLC
• John C. Porter MD PC
• John F Madden MD PC
• John G. Wood, DDS
• John H. Upton Jr. D.D.S. P.C. Magd
• John Maslak DDS PC
• John Prieve DO a Professional Corporation
• John Stapert PHD PLLC
• John Strobl D O PC
• Dale Kent John, D.C.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.