Provider Demographics
NPI:1326082587
Name:ENGEL, ERIC ROY (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ROY
Last Name:ENGEL
Suffix:
Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:3800 W RAY RD STE 14
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-5940
Mailing Address - Country:US
Mailing Address - Phone:480-812-8200
Mailing Address - Fax:480-812-8522
Practice Address - Street 1:3800 W RAY RD
Practice Address - Street 2:#14
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-5940
Practice Address - Country:US
Practice Address - Phone:480-812-8200
Practice Address - Fax:480-812-8522
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD60441223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology