East Valley Endodontics
Organization Active NPI Endodontics · Queen Creek, AZ
NPI 1265734701 · NPPES record last updated Dec 2, 2010
Key facts
- NPI
- 1265734701
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Endodontics 1223E0200X
- License
- D4318 (AZ)
- Legal business name
- EAST VALLEY ENDODONTICS
- Practice address
- 18610 E Rittenhouse Rd # a-104
Queen Creek, AZ 85142-4503 - Phone
- (480) 988-0020
- Fax
- (480) 988-6208
- NPI assigned
- Dec 2, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Steven L Frost, D.D.S.
- Title
- Owner
- Phone
- (480) 988-0020
National Provider Directory
Locations
18610 E Rittenhouse Rd
#A104
Queen Creek, AZ 85142
Phone (480) 988-0020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics |
1223E0200X | D4318 | AZ | Yes |
Addresses
Primary practice location
18610 E Rittenhouse Rd # a-104
Queen Creek, AZ 85142-4503
Mailing address
18610 E Rittenhouse Rd # a-104
Queen Creek, AZ 85142-4503
Phone (480) 988-0020
Other names
- queen creek
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.