# ARIZONA DEPARTMENT OF HEALTH SERVICES, OFFICE OF ORAL HEALTH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336275833
- **Authorized official:** MS. PATRICIA A. PRICE BSDH, MED (SEALANT PROGRAM MANAGER)
- **Authorized official phone:** (602) 542-1891

## Contact information

- **Practice address:** 1740 W ADAMS ST, RM 205, PHOENIX, AZ 85007-2607
- **Practice address phone:** (602) 542-1866
- **Practice address fax:** (602) 542-2936
- **Mailing address:** 1740 W ADAMS ST, RM 205, PHOENIX, AZ 85007-2607
- **Mailing address phone:** (602) 542-1866
- **Mailing address fax:** (602) 542-2936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | AZ | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020