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NPI Code Detail

MEDICARE: DR. ETHAN SAVORY DDS

MEDICARE: DR. ETHAN SAVORY DDS
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
11223G0001XGeneral Practice Dentistry10449AZ

General Provider Information

NPI Number : 1437673993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ETHAN SAVORY DDS
Provider Business Mailing Address
First Line : 33 N LINDSAY RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85234-5808
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 33 N LINDSAY RD STE 101
Second Line :
City : GILBERT
State : AZ
Zip : 85234-5808
Country : US
Telephone Number : 480-539-7323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2017
Last Update Date : 11/19/2021

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Directions to “ DR. ETHAN SAVORY DDS” Practice Location

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