# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Dental Care at Hudson Station
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023801297
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** JULI RENEE MIETZNER (CREDENTIALING MANAGER)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 20540 S SIGNAL BUTTE RD \# 106, QUEEN CREEK, AZ 85142-0538
- **Practice address phone:** (602) 922-9527
- **Practice address fax:** (602) 922-2847
- **Mailing address:** 20540 S SIGNAL BUTTE RD \# 106, QUEEN CREEK, AZ 85142-0538
- **Mailing address phone:** (602) 922-9527
- **Mailing address fax:** (602) 922-2847

## Taxonomy

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

## Other

- **Enumeration date:** 05/28/2025
- **Last updated:** 05/28/2025