# ADVANCED DENTISTRY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003026592
- **Authorized official:** MR. RANDY E. HLEBAK (OWNER)
- **Authorized official phone:** (480) 945-4700

## Contact information

- **Practice address:** 3337 N. MILLER ROAD, SUITE \#108, SCOTTSDALE, AZ 85251
- **Practice address phone:** (480) 945-4700
- **Practice address fax:** (480) 945-4707
- **Mailing address:** 3337 N. MILLER RD., SUITE \#108, SCOTTSDALE, AZ 85251
- **Mailing address phone:** (480) 945-4700
- **Mailing address fax:** (480) 945-4707

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 01/25/2018