Healthcare Provider Details

I. General information

NPI: 1053123893
Provider Name (Legal Business Name): SNC DENTAL FH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025
Certification Date: 01/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8980 N 90TH ST STE 130
SCOTTSDALE AZ
85258-5398
US

IV. Provider business mailing address

8980 N 90TH ST STE 130
SCOTTSDALE AZ
85258-5398
US

V. Phone/Fax

Practice location:
  • Phone: 602-887-8373
  • Fax:
Mailing address:
  • Phone: 602-887-8373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL KEYVANI
Title or Position: PRESIDENT
Credential: DDS
Phone: 310-351-4904