# A 101 DENTAL CARE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720167190
- **Authorized official:** DR. NICK NOZAR MANSOURIAN DDS (PRESIDENT)
- **Authorized official phone:** (480) 423-1000

## Contact information

- **Practice address:** 2899 N 87TH STREET, \#100, SCOTTSDALE, AZ 85257
- **Practice address phone:** (480) 423-1000
- **Practice address fax:** (480) 423-1002
- **Mailing address:** 2899 N 87TH STREET, \#100, SCOTTSDALE, AZ 85257
- **Mailing address phone:** (480) 423-1000
- **Mailing address fax:** (480) 423-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | AZ4613 | AZ | Yes |

## Other

- **Enumeration date:** 11/04/2006
- **Last updated:** 08/22/2020