FATTAH FAMILY DENTISTRY PC NPI 1023523396

NPI Information

NPI: 1023523396
Provider Name: FATTAH FAMILY DENTISTRY, PC

Doing Business As: SCOTTSDALE FAMILY DENTISTRY

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ
ZIP 85258
Phone: (480) 607-6937
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FATTAH FAMILY DENTISTRY, PC is a dental clinic center in Scottsdale, AZ. FATTAH FAMILY DENTISTRY, PC NPI is 1023523396. The provider is registered as an organization entity type.
The provider Is Doing Business As Scottsdale Family Dentistry.

The provider's business location address is:

8055 N VIA DE NEGOCIO
SCOTTSDALE, AZ
ZIP 85258-313
Phone: (480) 607-6937
Fax: (480) 607-6973

The provider's authorized official is Kamran Fattah .
The authorized official title is President / General Dentist and has the following contact phone number (503) 330-2847.

The CLIA number assigned to this NPI record is 03D2111194 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2017 and was last updated on 12/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	D009597	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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