# MOD DENTISTRY OF SCOTTSDALE

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

## Provider details

- **NPI number:** 1528715489
- **Authorized official:** PREETI SINGH DDS (OWNER)
- **Authorized official phone:** (602) 714-8219

## Contact information

- **Practice address:** 8124 E CACTUS RD STE 400, SCOTTSDALE, AZ 85260-5262
- **Practice address phone:** (602) 714-8219
- **Practice address fax:** (602) 346-9054
- **Mailing address:** 8124 E CACTUS RD STE 400, SCOTTSDALE, AZ 85260-5262
- **Mailing address phone:** (602) 714-8219
- **Mailing address fax:** (602) 346-9054

## Taxonomy

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

## Other

- **Enumeration date:** 03/09/2022
- **Last updated:** 03/09/2022
