# DREW DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1679264923
- **Authorized official:** DR. SHANE DREW DDS (DENTIST)
- **Authorized official phone:** (520) 374-2400

## Contact information

- **Practice address:** 1821 N TREKELL RD STE 9, CASA GRANDE, AZ 85122-1705
- **Practice address phone:** (520) 374-2400
- **Practice address fax:** (520) 836-7469
- **Mailing address:** 1821 N TREKELL RD STE 9, CASA GRANDE, AZ 85122-1705
- **Mailing address phone:** (520) 374-2400
- **Mailing address fax:** (520) 836-7469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2023
- **Last updated:** 05/17/2023