Provider Demographics
NPI:1114071388
Name:APEX ENDODONTICS
Entity Type:Organization
Organization Name:APEX ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARDY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-699-2940
Mailing Address - Street 1:3303 S LINDSAY RD
Mailing Address - Street 2:STE. 127
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-6503
Mailing Address - Country:US
Mailing Address - Phone:480-699-2940
Mailing Address - Fax:480-699-2941
Practice Address - Street 1:3303 S LINDSAY RD
Practice Address - Street 2:STE. 127
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-6503
Practice Address - Country:US
Practice Address - Phone:480-699-2940
Practice Address - Fax:480-699-2941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD55931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty