Scottsdale Dental Group, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SCOTTSDALE DENTAL GROUP, PLC

Doing business as

Biltmore Innovative Dentistry

Practice address

4444 N 32ND St Ste 100
Phoenix, AZ 85018-3956

Phone

(602) 612-2262

Fax

(602) 581-3344

NPI assigned

Sep 19, 2019

Last updated

Sep 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Terese Ebner, DDS, MSNPI 1912063090

Title

Owner/Dentist

Phone

(602) 612-2262

Specialties & licenses 1

Addresses

Other names 1

• Biltmore Innovative Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ebner, D.D.S.

  • Dentist
  • Phoenix, AZ
  • NPI 1912063090
  Authorized official Same address or phone

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1083264154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "602-612-2262",
            "fax_number": "602-581-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 N 32ND ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183956",
            "telephone_number": "602-612-2262",
            "fax_number": "602-581-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "TERESE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "602-612-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biltmore Innovative Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Scotti, PTA
• Scottsdale Acute Care Surgery, LLC
• Scottsdale Anesthesiology LLC
• Scottsdale Cosmetic Dentistry (New Image Dentistry)
• Scottsdale Dental Anesthesia PLLC
• Scottsdale Dermatology, LTD (Phoenix Dermatology)
• Scottsdale Healthcare Corp (Scottsdale Healthcare Primary Care Arcadia 101)
• Scottsdale Healthcare Corp (Scottsdale Healthcare Urgent Care Plus)
• Scottsdale Healthcare Corp (Optimum Physical Therapy at Scottsdale Healthcare)
• Scottsdale Healthcare Corp

• Dental Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.