MEDICARE: NATASHA YVETTE MAY DDS, MS

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	1223P0300X	Periodontics	D11993	MN
2	1223P0300X	Periodontics	DENT.DE600002903	WA
3	1223P0300X	Periodontics	D009405	AZ

General Provider Information

NPI Number	:	1215103049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA YVETTE MAY DDS, MS

Provider Business Mailing Address
First Line	:	4365 E PECOS RD STE 106
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-7888
Country	:	US
Telephone Number	:	480-801-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	4365 E PECOS RD STE 106
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85295-7888
Country	:	US
Telephone Number	:	480-801-7878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2008
Last Update Date	:	02/15/2022

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