# SCOTTSDALE DENTAL ANESTHESIA PLLC

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

## Provider details

- **NPI number:** 1689469876
- **Authorized official:** DR. ROBERT CARPENTER JR. DMD (PRESIDENT)
- **Authorized official phone:** (602) 320-5102

## Contact information

- **Practice address:** 12320 N 32ED ST, SUITE \#2, PHOENIX, AZ 85032
- **Practice address phone:** (602) 320-5102
- **Mailing address:** 2612 E RUSTLING OAKS LN, PHOENIX, AZ 85024-5280
- **Mailing address phone:** (518) 928-4964

## Taxonomy

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

## Other

- **Enumeration date:** 04/10/2025
- **Last updated:** 04/10/2025