Provider Demographics
NPI:1083824072
Name:DARREN L FLOWERS DMD PLLC
Entity Type:Organization
Organization Name:DARREN L FLOWERS DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:623-551-8000
Mailing Address - Street 1:3618 W ANTHEM WAY
Mailing Address - Street 2:D132
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-0419
Mailing Address - Country:US
Mailing Address - Phone:623-551-8000
Mailing Address - Fax:
Practice Address - Street 1:3618 W ANTHEM WAY
Practice Address - Street 2:D132
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-0419
Practice Address - Country:US
Practice Address - Phone:623-551-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD51171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty