Healthcare Provider Details

I. General information

NPI: 1841519923
Provider Name (Legal Business Name): DAVID Z BARGET DMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7032 E. COCHISE RD A.220
SCOTTSDALE AZ
85253
US

IV. Provider business mailing address

7032 E. COCHISE RD. A.220
SCOTTSDALE AZ
85253
US

V. Phone/Fax

Practice location:
  • Phone: 480-443-8440
  • Fax: 480-443-4767
Mailing address:
  • Phone: 480-443-8440
  • Fax: 480-443-4767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number5099
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: