# CENTRAL AVENUE SPECIALTY, PLLC.

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

## Provider details

- **NPI number:** 1104257963
- **Authorized official:** DR. ANTHONY E HERRO DDS (OWNER)
- **Authorized official phone:** (602) 266-1776

## Contact information

- **Practice address:** 5133 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-1438
- **Practice address phone:** (602) 266-1776
- **Practice address fax:** (602) 234-1814
- **Mailing address:** 5133 N CENTRAL AVE, SUITE 102, PHOENIX, AZ 85012-1438
- **Mailing address phone:** (602) 266-1776
- **Mailing address fax:** (602) 234-1814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D07259 | AZ | Yes |
| 1223P0221X | Pediatric Dentistry | D008035 | AZ | — |
| 1223P0700X | Prosthodontics | D008106 | AZ | — |

## Other

- **Enumeration date:** 12/04/2013
- **Last updated:** 12/04/2013