# CONCIERGE DENTAL

> 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:** 1619569415
- **Authorized official:** DR. MICHAEL JOHN NEISH (DMD)
- **Authorized official phone:** (520) 201-8210

## Contact information

- **Practice address:** 1846 E INNOVATION PARK DR \# 85755, ORO VALLEY, AZ 85755-1963
- **Practice address phone:** (520) 201-8210
- **Practice address fax:** (520) 318-5701
- **Mailing address:** 1846 E INNOVATION PARK DR \# 85755, ORO VALLEY, AZ 85755-1963
- **Mailing address phone:** (520) 201-8210
- **Mailing address fax:** (520) 318-5701

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021