Healthcare Provider Details

I. General information

NPI: 1326188954
Provider Name (Legal Business Name): DR. FERAS ALREZK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8350 E RAINTREE DR STE 225
SCOTTSDALE AZ
85260-2693
US

IV. Provider business mailing address

8350 E RAINTREE DR STE 225
SCOTTSDALE AZ
85260-2693
US

V. Phone/Fax

Practice location:
  • Phone: 888-202-8586
  • Fax:
Mailing address:
  • Phone: 888-202-8586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number53438
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD011798
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: