Dental Studio 101

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3252 Issued in AZ

Legal business name

DENTAL STUDIO 101

Practice address

34597 N 60TH St
Business Suite 101
Scottsdale, AZ 85262-5240

Phone

(480) 488-4858

Fax

(480) 488-4976

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark C Peck, DDS

Title

Owner

Phone

(480) 488-4852

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487875944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST",
            "address_2": "BUSINESS SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625240",
            "telephone_number": "480-488-4858",
            "fax_number": "480-488-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34597 N 60TH ST",
            "address_2": "BUSINESS SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625240",
            "telephone_number": "480-488-4858",
            "fax_number": "480-488-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL STUDIO 101",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PECK",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-488-4852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3252",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "6916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Salon Scottsdale
• Dentalworks, PC
• Dentistry at Hayden Peak LLC
• Dentists of Scottsdale, LLP
• Dentists on Chaparral LLP
• Sherry Lynn Denton, NP

• 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 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.