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NPI Code Detail

MEDICARE: DR. ADAM PRESTON BLOCK DDS

MEDICARE:  DR. ADAM PRESTON BLOCK  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
1122300000XDentistD7541AZ

General Provider Information

NPI Number : 1710149398
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM PRESTON BLOCK DDS
Provider Business Mailing Address
First Line : 5398 W MICHELLE DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1330
Country : US
Telephone Number : 602-402-9538
Fax Number :
Provider Business Practice Location Address
First Line : 9947 W HAPPY VALLEY RD
Second Line : SUITE 101
City : PEORIA
State : AZ
Zip : 85383-1214
Country : US
Telephone Number : 623-572-0893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 06/25/2008

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Directions to “ DR. ADAM PRESTON BLOCK DDS” Practice Location

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