Healthcare Provider Details

I. General information

NPI: 1306529409
Provider Name (Legal Business Name): NSEI & ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8765 E BELL RD STE 213
SCOTTSDALE AZ
85260-1321
US

IV. Provider business mailing address

8765 E BELL RD STE 213
SCOTTSDALE AZ
85260-1321
US

V. Phone/Fax

Practice location:
  • Phone: 480-731-3636
  • Fax:
Mailing address:
  • Phone: 480-731-3636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: JENNY GARCIA ROCHA
Title or Position: SR CREDENTIALING LEAD
Credential:
Phone: 972-869-3789