MEDICARE: IRONWOOD DENTAL CENTER,INC

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	122300000X	Dentist	3329	AZ

General Provider Information

NPI Number	:	1780893768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRONWOOD DENTAL CENTER,INC

Provider Business Mailing Address
First Line	:	15425 S 40TH PL
Second Line	:	STE 1
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3746
Country	:	US
Telephone Number	:	480-704-0701
Fax Number	:	480-704-0787

Provider Business Practice Location Address
First Line	:	15425 S 40TH PL
Second Line	:	STE 1
City	:	PHOENIX
State	:	AZ
Zip	:	85044-3746
Country	:	US
Telephone Number	:	480-704-0701
Fax Number	:	480-704-0787

Authorized Official
Title or Position	:	DENTIST OWNER
Name	:	DR. HARVEY BRUCE ARNCE
Credential	:	D.D.S
Telephone Number	:	480-704-0701

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	05/14/2015

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