Provider Demographics
NPI:1225451388
Name:MCKAY, ARIEL (BS, RDH)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:MCKAY
Suffix:
Gender:F
Credentials:BS, RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5270 W BASELINE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-6959
Mailing Address - Country:US
Mailing Address - Phone:602-237-8182
Mailing Address - Fax:
Practice Address - Street 1:5270 W BASELINE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-6959
Practice Address - Country:US
Practice Address - Phone:602-237-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZH007726124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist