Provider Demographics
NPI:1396964300
Name:GINGER PRICE DDS
Entity type:Organization
Organization Name:GINGER PRICE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-468-1135
Mailing Address - Street 1:4425 N 24TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5501
Mailing Address - Country:US
Mailing Address - Phone:602-468-1135
Mailing Address - Fax:602-468-1137
Practice Address - Street 1:4425 N 24TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-5501
Practice Address - Country:US
Practice Address - Phone:602-468-1135
Practice Address - Fax:602-468-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty