# NORTH VALLEY ENDODONTICS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Endodontic Specialty Group, Valley Endodontics and Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659308641
- **Authorized official:** DEBORAH HENEBRY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (602) 734-4518

## Contact information

- **Practice address:** 702 E BELL RD STE 111, PHOENIX, AZ 85022-6639
- **Practice address phone:** (602) 404-3800
- **Practice address fax:** (602) 404-0983
- **Mailing address:** 8121 E INDIAN BEND RD STE 128, SCOTTSDALE, AZ 85250-4820
- **Mailing address phone:** (026) 734-4518
- **Mailing address fax:** (602) 482-7021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 4411 | AZ | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 04/28/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013359603 | — | AZ |
| 05 | — | 1164880779 | — | AZ |
| 05 | — | 1174922025 | — | AZ |
| 05 | — | 1205192663 | — | AZ |
| 05 | — | 1326230632 | — | AZ |
| 05 | — | 1336281856 | — | AZ |
| 05 | — | 1366857518 | — | AZ |
| 05 | — | 1477520146 | — | AZ |
| 05 | — | 1518218825 | — | AZ |
| 05 | — | 1548657315 | — | AZ |
| 05 | — | 1548791486 | — | AZ |
| 05 | — | 1558600643 | — | AZ |
| 05 | — | 1649313313 | — | AZ |
| 05 | — | 1679878938 | — | AZ |
| 05 | — | 1699749978 | — | AZ |
| 05 | — | 1700298262 | — | AZ |
| 05 | — | 1730486630 | — | AZ |
| 05 | — | 1740486737 | — | AZ |
| 05 | — | 1770937146 | — | AZ |
| 05 | — | 1821260951 | — | AZ |
| 05 | — | 1972713493 | — | AZ |