Healthcare Provider Details

I. General information

NPI: 1568580439
Provider Name (Legal Business Name): H. KENDALL SCHOLES D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 N DOBSON RD STE B34
CHANDLER AZ
85224-4231
US

IV. Provider business mailing address

595 N DOBSON RD STE B34
CHANDLER AZ
85224-4231
US

V. Phone/Fax

Practice location:
  • Phone: 480-786-0940
  • Fax: 480-786-5694
Mailing address:
  • Phone: 480-786-0940
  • Fax: 480-786-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number4444
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: