# SOHO- SENIOR ORAL HEALTH OUTREACH

> 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
- **Other names:** SOHO- Special Oral Health Outreach
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366988404
- **Authorized official:** DR. STEFANIE HOURANI DDS (DIRECTOR)
- **Authorized official phone:** (402) 650-0686

## Contact information

- **Practice address:** 4901 N 44TH ST, SUITE 102, PHOENIX, AZ 85018-2782
- **Practice address phone:** (480) 779-0227
- **Mailing address:** 4901 N 44TH ST, SUITE 102, PHOENIX, AZ 85018-2782
- **Mailing address phone:** (480) 779-0227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | D08533 | AZ | Yes |
| 1223P0221X | Pediatric Dentistry | D08533 | AZ | — |
| 261QD0000X | Dental Clinic/Center | D08533 | AZ | — |

## Other

- **Enumeration date:** 01/12/2017
- **Last updated:** 01/12/2017