Healthcare Provider Details
I. General information
NPI: 1912074196
Provider Name (Legal Business Name): RUNNING & HELLWIG PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7032 E COCHISE RD SUITE 100
SCOTTSDALE AZ
85253
US
IV. Provider business mailing address
7032 E COCHISE RD SUITE 100
SCOTTSDALE AZ
85253
US
V. Phone/Fax
- Phone: 480-948-4200
- Fax: 480-948-4825
- Phone: 480-948-4200
- Fax: 480-948-4825
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
E H
TODD
HELLWIG
Title or Position: SECRETARY TREASURER
Credential: DMD
Phone: 480-948-4200