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NPI Code Detail

MEDICARE: TRACY JO ARNDT-CLEMMER RDH

MEDICARE: TRACY JO ARNDT-CLEMMER RDH
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
1124Q00000XDental HygienistH03071AZ

General Provider Information

NPI Number : 1669306536
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY JO ARNDT-CLEMMER RDH
Provider Business Mailing Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-243-7277
Fax Number :
Provider Business Practice Location Address
First Line : 3830 E VAN BUREN ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-6920
Country : US
Telephone Number : 602-243-7277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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