Healthcare Provider Details

I. General information

NPI: 1902421159
Provider Name (Legal Business Name): JOHN ROBERT TURKE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2020
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20118 N 67TH AVE STE 308
GLENDALE AZ
85308-4621
US

IV. Provider business mailing address

20118 N 67TH AVE STE 308
GLENDALE AZ
85308-4621
US

V. Phone/Fax

Practice location:
  • Phone: 480-530-3663
  • Fax: 480-530-3536
Mailing address:
  • Phone: 480-530-3663
  • Fax: 480-530-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD010705
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: