# NORTHWEST ENDODONTICS

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

## Provider details

- **NPI number:** 1629289491
- **Authorized official:** DR. SCOTT WILLIAM PACE D.D.S. (OWNER)
- **Authorized official phone:** (623) 979-1313

## Contact information

- **Practice address:** 7972 W THUNDERBIRD RD, SUITE 103, PEORIA, AZ 85381-4903
- **Practice address phone:** (623) 979-1313
- **Practice address fax:** (623) 505-3678
- **Mailing address:** 7972 W THUNDERBIRD RD, SUITE 103, PEORIA, AZ 85381-4903
- **Mailing address phone:** (623) 979-1313
- **Mailing address fax:** (623) 505-3678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 4948 | AZ | Yes |

## Other

- **Enumeration date:** 05/24/2007
- **Last updated:** 08/22/2020
