# MICHAEL D HUMMITZSCH DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avondale Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215320551
- **Authorized official:** DR. MICHAEL DAVID HUMMITZSCH D.D.S. (OWNER)
- **Authorized official phone:** (623) 772-5362

## Contact information

- **Practice address:** 10665 W INDIAN SCHOOL RD, SUITE J, AVONDALE, AZ 85392-5642
- **Practice address phone:** (623) 772-5362
- **Practice address fax:** (623) 772-6036
- **Mailing address:** 10665 W INDIAN SCHOOL RD, SUITE J, AVONDALE, AZ 85392-5642
- **Mailing address phone:** (623) 772-5362
- **Mailing address fax:** (623) 772-6036

## Taxonomy

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

## Other

- **Enumeration date:** 03/11/2015
- **Last updated:** 03/13/2015