Provider Demographics
NPI:1346390663
Name:MAZEL, JOSEPH S (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:MAZEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 E.MOUNTAIN VIEW ROAD
Mailing Address - Street 2:SUITE #207
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5136
Mailing Address - Country:US
Mailing Address - Phone:480-391-9399
Mailing Address - Fax:480-860-8688
Practice Address - Street 1:9220 E.MOUNTAIN VIEW ROAD
Practice Address - Street 2:SUITE #207
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5136
Practice Address - Country:US
Practice Address - Phone:480-391-9399
Practice Address - Fax:480-860-8688
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ40191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice