# GREGORY L. TEN EYCK DDS PC

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

## Provider details

- **NPI number:** 1023221405
- **Authorized official:** DR. GREGORY LOUIS TEN EYCK DDS (OWNER)
- **Authorized official phone:** (602) 438-9245

## Contact information

- **Practice address:** 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1495
- **Practice address phone:** (602) 438-9245
- **Practice address fax:** (602) 438-8695
- **Mailing address:** 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1495
- **Mailing address phone:** (602) 438-9245
- **Mailing address fax:** (602) 438-8695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3906 | AZ | Yes |

## Other

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