# SCOTTSDALE DENTAL GROUP, PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Biltmore Innovative Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083264154
- **Authorized official:** DR. JENNIFER TERESE EBNER DDS, MS (OWNER/DENTIST)
- **Authorized official phone:** (602) 612-2262

## Contact information

- **Practice address:** 4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
- **Practice address phone:** (602) 612-2262
- **Practice address fax:** (602) 581-3344
- **Mailing address:** 4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
- **Mailing address phone:** (602) 612-2262
- **Mailing address fax:** (602) 581-3344

## Taxonomy

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

## Other

- **Enumeration date:** 09/19/2019
- **Last updated:** 09/19/2019