# UPTOWN PEDIATRIC DENTAL GROUP, PLLC

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

## Provider details

- **NPI number:** 1003458688
- **Authorized official:** ERNEST NEHRER DDS (OWNER DOCTOR)
- **Authorized official phone:** (831) 234-5526

## Contact information

- **Practice address:** 1515 E MISSOURI AVE STE 103, PHOENIX, AZ 85014-2443
- **Practice address phone:** (602) 279-2981
- **Mailing address:** 7236 N 18TH PL, PHOENIX, AZ 85020-5236
- **Mailing address phone:** (312) 345-5526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/15/2019
- **Last updated:** 10/15/2019