Pastora Duncan DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4078 Issued in AZ

Legal business name

PASTORA DUNCAN DDS PC

Practice address

5041 W Northern Ave
Suite C
Glendale, AZ 85301-1539

Phone

(623) 931-7451

Fax

(632) 937-2367

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Pastora Duncan, DDS

Title

Dentist

Phone

(623) 931-7451

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1821287897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 W NORTHERN AVE",
            "address_2": "SUITE C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011539",
            "telephone_number": "623-931-7451",
            "fax_number": "632-937-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 W NORTHERN AVE",
            "address_2": "SUITE C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011539",
            "telephone_number": "623-931-7451",
            "fax_number": "632-937-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTORA DUNCAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PASTORA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "623-931-7451",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.