# SIGNATURE DENTAL PARTNERS LLC

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

## Provider details

- **NPI number:** 1699308866
- **Authorized official:** MELODY BENNION (DIRECTOR OF INTEGRATIONS)
- **Authorized official phone:** (480) 234-8490

## Contact information

- **Practice address:** 410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
- **Practice address phone:** (480) 626-4154
- **Mailing address:** 410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
- **Mailing address phone:** (480) 626-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2020
- **Last updated:** 12/02/2020