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NPI 1982563466

NPI 1982563466 : ROOT CANAL SPECIALISTS OF ARIZONA PLLC : BUCKEYE, AZ

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General NPI Number Information
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    NPI Number           |    1982563466
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROOT CANAL SPECIALISTS OF ARIZONA PLLC 
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Dates
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    Enumeration Date     |    01/20/2026
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    21250 W ROOSEVELT ST STE 221 
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    City                 |    BUCKEYE
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    State                |    AZ
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    Zip                  |    85326-0312
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    Country              |    US
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    Telephone            |    602-845-9552
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    21250 W ROOSEVELT ST STE 221 
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    City                 |    BUCKEYE
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    State                |    AZ
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    Zip                  |    85326-0312
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PARTNER
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    Name                 |     DEAN  WHITING 
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    Credential           |    DDS, MSD
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    Telephone            |    602-845-9552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    
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    License Number State |    
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