# DESERT SUN ENDODONTICS

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

## Provider details

- **NPI number:** 1841461126
- **Authorized official:** DR. JASON R BOOTH D.M.D (OWNER / PARTNER)
- **Authorized official phone:** (602) 354-3944

## Contact information

- **Practice address:** 4025 W BELL RD, SUITE \#11, PHOENIX, AZ 85053-2750
- **Practice address phone:** (602) 354-3944
- **Mailing address:** 4025 W BELL RD, SUITE \#11, PHOENIX, AZ 85053-2750
- **Mailing address phone:** (602) 354-3944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | D5542 | AZ | Yes |
| 1223E0200X | Endodontics | D5887 | AZ | — |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008