MEDICARE: DR. MARIANA CONANT 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
1	1223G0001X	General Practice Dentistry	D009623	AZ

General Provider Information

NPI Number	:	1831126150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIANA CONANT DDS

Provider Business Mailing Address
First Line	:	11390 E VIA LINDA STE 104
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-867-1727
Fax Number	:	480-550-6521

Provider Business Practice Location Address
First Line	:	11390 E VIA LINDA STE 104
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85259-4075
Country	:	US
Telephone Number	:	480-867-1727
Fax Number	:	480-550-6521

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

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	02/01/2023

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