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NPI Code Detail

MEDICARE: CARE FOR KIDS OF ARIZONA, LLC

MEDICARE: CARE FOR KIDS OF ARIZONA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry
21223P0221XPediatric Dentistry
31223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

General Provider Information

NPI Number : 1134269269
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE FOR KIDS OF ARIZONA, LLC
Provider Business Mailing Address
First Line : 3311 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-7302
Country : US
Telephone Number : 602-956-3363
Fax Number : 602-356-8877
Provider Business Practice Location Address
First Line : 3311 E THOMAS RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-7302
Country : US
Telephone Number : 602-956-3363
Fax Number : 602-356-8877
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY TODD ERICKSON
Credential : D.M.D
Telephone Number : 480-655-8687
Provider Enumeration Date : 02/07/2007
Last Update Date : 09/11/2025

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Directions to “CARE FOR KIDS OF ARIZONA, LLC ” Practice Location

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