Provider Demographics
NPI:1568961480
Name:ACS DENTAL PLLC
Entity Type:Organization
Organization Name:ACS DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-894-7777
Mailing Address - Street 1:727 E BETHANY HOME RD STE A100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-2192
Mailing Address - Country:US
Mailing Address - Phone:602-279-1641
Mailing Address - Fax:
Practice Address - Street 1:727 E BETHANY HOME RD STE A100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-2192
Practice Address - Country:US
Practice Address - Phone:602-789-3799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-06
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD009829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty