Az Restoration Dental PLLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

4730 Issued in AZ

Legal business name

AZ RESTORATION DENTAL PLLC

Practice address

4910 E Greenway Rd
Suite 7
Scottsdale, AZ 85254-1653

Phone

(602) 992-2996

Fax

(602) 992-2228

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Michael B Muscato, DDS

Title

Principal/Owner

Phone

(602) 992-2996

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1497110662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD",
            "address_2": "SUITE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-992-2996",
            "fax_number": "602-992-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD",
            "address_2": "SUITE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-992-2996",
            "fax_number": "602-992-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ RESTORATION DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MUSCATO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRINCIPAL/OWNER",
        "authorized_official_telephone_number": "602-992-2996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AZ",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "421595",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Preferred Provider Organization in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.