South Scottsdale Dental Care L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH SCOTTSDALE DENTAL CARE L.L.C.

Practice address

1525 N Granite Reef Rd Ste 102
Scottsdale, AZ 85257-3998

Phone

(480) 730-5000

Fax

(480) 730-6500

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey P Ward, DDSNPI 1215052063

Title

Owner

Phone

(480) 730-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffrey P Ward, D.D.S.

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1215052063
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1043055478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N GRANITE REEF RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573998",
            "telephone_number": "480-730-5000",
            "fax_number": "480-730-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N GRANITE REEF RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573998",
            "telephone_number": "480-730-5000",
            "fax_number": "480-730-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SCOTTSDALE DENTAL CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-730-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 Jun 27, 2024; 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.