# JOHN H. UPTON JR. D.D.S. P.C. MAGD

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

## Provider details

- **NPI number:** 1124200621
- **Authorized official:** DR. JOHN H UPTON P.C. MAGD (DOCTOR)
- **Authorized official phone:** (623) 878-6333

## Contact information

- **Practice address:** 18555 N 79TH AVE STE A104, GLENDALE, AZ 85308-8371
- **Practice address phone:** (623) 878-6333
- **Mailing address:** 18555 N 79TH AVE STE A104, GLENDALE, AZ 85308-8371
- **Mailing address phone:** (623) 878-6333

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 05/28/2009