# SURPRISE ENDODONTICS

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

## Provider details

- **NPI number:** 1649303785
- **Authorized official:** MS. LOUISE NORRIS (OFFICE MANAGER)
- **Authorized official phone:** (623) 376-7400

## Contact information

- **Practice address:** 15294 W BROOKSIDE LN, SUITE 100, SURPRISE, AZ 85374-3999
- **Practice address phone:** (623) 376-7400
- **Practice address fax:** (623) 376-7489
- **Mailing address:** 15294 W BROOKSIDE LN, SUITE 100, SURPRISE, AZ 85374-3999
- **Mailing address phone:** (623) 376-7400
- **Mailing address fax:** (623) 376-7489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 1005639 | AZ | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020