# SCOTTSDALE MODERN DENTISTRY AND ORTHODONTICS, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scottsdale Modern Dentistry and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730434515
- **Authorized official:** DR. PAUL S GEBHART DDS (OWNER DOCTOR)
- **Authorized official phone:** (480) 941-3907

## Contact information

- **Practice address:** 10260 N 90TH ST, SCOTTSDALE, AZ 85258-4408
- **Practice address phone:** (480) 941-3907
- **Practice address fax:** (480) 941-3915
- **Mailing address:** 2860 MICHELLE FL 2, IRVINE, CA 92606-1008
- **Mailing address phone:** (714) 368-2084
- **Mailing address fax:** (714) 368-2092

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012