Provider Demographics
NPI:1508918764
Name:DENTALWORKS, PC
Entity Type:Organization
Organization Name:DENTALWORKS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WORK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-391-0099
Mailing Address - Street 1:9070 E DESERT COVE DR
Mailing Address - Street 2:A 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6227
Mailing Address - Country:US
Mailing Address - Phone:480-391-0099
Mailing Address - Fax:480-657-8637
Practice Address - Street 1:9070 E DESERT COVE DR
Practice Address - Street 2:A 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6227
Practice Address - Country:US
Practice Address - Phone:480-391-0099
Practice Address - Fax:480-657-8637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty