MEDICARE: TEMPE DENTAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	6019	AZ

General Provider Information

NPI Number	:	1043338387
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEMPE DENTAL CARE

Provider Business Mailing Address
First Line	:	1835 E GUADALUPE RD
Second Line	:	SUITE 107
City	:	TEMPE
State	:	AZ
Zip	:	85283-3277
Country	:	US
Telephone Number	:	480-730-5000
Fax Number	:	480-730-6500

Provider Business Practice Location Address
First Line	:	1835 E GUADALUPE RD
Second Line	:	SUITE 107
City	:	TEMPE
State	:	AZ
Zip	:	85283-3277
Country	:	US
Telephone Number	:	480-730-5000
Fax Number	:	480-730-6500

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY WARD
Credential	:	D.D.S.
Telephone Number	:	480-730-5000

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

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Practice Location Address:

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Practice Fax:

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1093853111 — MS. JENINE COOK OTR-L
Practice Location Address:

1835 E GUADALUPE RD , STE 103
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1811224728 — JACQUELYN SUE KINAVEY OTR/L
Practice Location Address:

1835 E GUADALUPE RD , SUITE 103
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85283-3277

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1093043747 — DAVID A STROBEL R.PH.
Practice Location Address:

1835 E GUADALUPE RD
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85283-3277

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1265740633 — MR. ADAM COLBY WHITESCARVER RPH
Practice Location Address:

1835 E GUADALUPE RD
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85283-3277

Practice Phone: 480-838-0448
Practice Fax: 480-730-9860

Directions to “TEMPE DENTAL CARE ” Practice Location

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