Healthcare Provider Details

I. General information

NPI: 1497311153
Provider Name (Legal Business Name): DANCYNMMS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2019
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 W THUNDERBIRD RD STE F600
GLENDALE AZ
85306-4667
US

IV. Provider business mailing address

6319 W HONEYSUCKLE DR
PHOENIX AZ
85083-1824
US

V. Phone/Fax

Practice location:
  • Phone: 602-863-4203
  • Fax: 602-863-4216
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA HEWSON
Title or Position: MANAGER
Credential:
Phone: 281-667-6545