# CHANDLER DENTAL HEALTH, PLLC

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

## Provider details

- **NPI number:** 1164571071
- **Authorized official:** DR. THOMAS GIACOBBI DDS (OWNER)
- **Authorized official phone:** (480) 899-6677

## Contact information

- **Practice address:** 1035 W QUEEN CREEK RD, SUITE 206, CHANDLER, AZ 85248-8123
- **Practice address phone:** (480) 899-6677
- **Mailing address:** 1035 W QUEEN CREEK RD, SUITE 206, CHANDLER, AZ 85248-8123
- **Mailing address phone:** (480) 899-6677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4869 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 4976 | AZ | — |

## Other

- **Enumeration date:** 01/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4869 | DENTAL LICENSE | AZ |
| 01 | — | 4976 | DENTAL LICENSE | AZ |