Healthcare Provider Details

I. General information

NPI: 1376660845
Provider Name (Legal Business Name): JOHN ARTHUR BIGLER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S IDAHO RD 260
APACHE JUNCTION AZ
85219-2379
US

IV. Provider business mailing address

3373 E CLARK DR
GILBERT AZ
85297-3040
US

V. Phone/Fax

Practice location:
  • Phone: 480-982-0782
  • Fax: 480-982-5367
Mailing address:
  • Phone: 480-982-0782
  • Fax: 480-982-5367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6161
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: