# ANDDENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AZ Family Dental- North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700500956
- **Authorized official:** LINDSAY HAUKELI (OFFICE MANAGER)
- **Authorized official phone:** (623) 303-8089

## Contact information

- **Practice address:** 28255 N TATUM BLVD STE 4, CAVE CREEK, AZ 85331-2394
- **Practice address phone:** (623) 303-8089
- **Practice address fax:** (623) 321-9488
- **Mailing address:** 28255 N TATUM BLVD STE 4, CAVE CREEK, AZ 85331-2394
- **Mailing address phone:** (623) 303-8089

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2022
- **Last updated:** 10/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1174148985 | PPO GENERAL DENTIST | AZ |
| 01 | — | 1336400472 | PPO GENERAL DENTIST | AZ |