MEDICARE: WEE CARE DENTAL P.C.

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	1223P0221X	Pediatric Dentistry	3915	AZ

General Provider Information

NPI Number	:	1053420968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEE CARE DENTAL P.C.

Provider Business Mailing Address
First Line	:	702 E BELL RD
Second Line	:	SUITE #116
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6639
Country	:	US
Telephone Number	:	602-867-7880
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 E BELL RD
Second Line	:	SUITE #116
City	:	PHOENIX
State	:	AZ
Zip	:	85022-6639
Country	:	US
Telephone Number	:	602-867-7880
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/DENTIST
Name	:	ERIC (RICK) J MEYERS
Credential	:	DDS
Telephone Number	:	602-867-7880

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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