# ASSOCIATED DENTAL CARE PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associated Dental & Orthodontics Glendale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114054624
- **Authorized official:** HANNAH FISH (CREDENTIALING MANAGER)
- **Authorized official phone:** (214) 540-5699

## Contact information

- **Practice address:** 5905 W BELL RD STE 6, GLENDALE, AZ 85308-3790
- **Practice address phone:** (602) 547-9566
- **Practice address fax:** (602) 547-8164
- **Mailing address:** 5905 W BELL RD STE 6, GLENDALE, AZ 85308-3790
- **Mailing address phone:** (602) 547-9566
- **Mailing address fax:** (602) 547-8164

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 09/18/2023