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NPI Code Detail

MEDICARE: CAREFREE SMILE LLC

MEDICARE: CAREFREE SMILE LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies3038AZ

General Provider Information

NPI Number : 1275961971
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREFREE SMILE LLC
Provider Business Mailing Address
First Line : 34597 N 60TH ST
Second Line : SUITE 103
City : SCOTTSDALE
State : AZ
Zip : 85266-5240
Country : US
Telephone Number : 480-488-7010
Fax Number : 480-488-7008
Provider Business Practice Location Address
First Line : 34597 N 60TH ST
Second Line : SUITE 103
City : SCOTTSDALE
State : AZ
Zip : 85266-5240
Country : US
Telephone Number : 480-488-7010
Fax Number : 480-488-7008
Authorized Official
Title or Position : DENTIST
Name : DR. PETER A FINOCCHIARO
Credential : DDS
Telephone Number : 480-488-7010
Provider Enumeration Date : 10/16/2013
Last Update Date : 12/16/2013

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Directions to “CAREFREE SMILE LLC ” Practice Location

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