# JOHN J. MEHLEM, JR., DMD, PC

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

## Provider details

- **NPI number:** 1013121128
- **Authorized official:** DR. JOHN J. MEHLEM JR. DMD (PRESIDENT)
- **Authorized official phone:** (602) 938-7750

## Contact information

- **Practice address:** 17250 N 43RD AVE, SUITE \#1, GLENDALE, AZ 85308-4035
- **Practice address phone:** (602) 938-7750
- **Practice address fax:** (602) 938-0765
- **Mailing address:** 17250 N 43RD AVE, SUITE \#1, GLENDALE, AZ 85308-4035
- **Mailing address phone:** (602) 938-7750
- **Mailing address fax:** (602) 938-0765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1716 | AZ | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020