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NPI Code Detail

MEDICARE: MARIANNE YOUSSEF DMD

MEDICARE: MARIANNE YOUSSEF DMD
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
1122300000XDentistD5889AZ
2122300000XDentistD05889AZ
31223G0001XGeneral Practice DentistryD05889AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780644500
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANNE YOUSSEF DMD
Provider Business Mailing Address
First Line : 7500 N DREAMY DRAW DR STE 145
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-4668
Country : US
Telephone Number : 480-882-4545
Fax Number : 480-882-5890
Provider Business Practice Location Address
First Line : 8705 E MCDOWELL RD
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85257-3909
Country : US
Telephone Number : 480-882-4545
Fax Number : 480-882-5890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 12/19/2022

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Directions to “ MARIANNE YOUSSEF DMD” Practice Location

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