MEDICARE: CARA POCANO DDS

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
1	122300000X	Dentist	D012681	AZ
2	122300000X	Dentist	00204819	CO
3	1223G0001X	General Practice Dentistry	12076	TN

General Provider Information

NPI Number	:	1427620285
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARA POCANO DDS

Provider Business Mailing Address
First Line	:	7708 W BELL RD STE 103
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8741
Country	:	US
Telephone Number	:	623-734-1506
Fax Number	:

Provider Business Practice Location Address
First Line	:	7708 W BELL RD STE 103
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85308-8741
Country	:	US
Telephone Number	:	623-734-1506
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2021
Last Update Date	:	01/05/2026

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Directions to “ CARA POCANO DDS” Practice Location

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