Provider Demographics
NPI:1891789210
Name:FLEMING, ELIZABETH JOYCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JOYCE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:JOYCE
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS PC
Mailing Address - Street 1:20950 N TATUM BLVD
Mailing Address - Street 2:STE. 280
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4200
Mailing Address - Country:US
Mailing Address - Phone:480-860-4300
Mailing Address - Fax:480-419-7814
Practice Address - Street 1:20950 N TATUM BLVD
Practice Address - Street 2:STE. 280
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4200
Practice Address - Country:US
Practice Address - Phone:480-860-4300
Practice Address - Fax:480-419-7814
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice