# SUPERSTITION SPRINGS ENDODONTICS, LLP

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

## Provider details

- **NPI number:** 1861544256
- **Authorized official:** DR. EDWARD H. CARLSON DDS (DIRECTOR)
- **Authorized official phone:** (480) 807-8022

## Contact information

- **Practice address:** 6755 E SUPERSTITION SPRINGS BLVD STE 101, MESA, AZ 85206-4375
- **Practice address phone:** (480) 807-8022
- **Practice address fax:** (480) 807-5955
- **Mailing address:** 6755 E SUPERSTITION SPRINGS BLVD STE 101, MESA, AZ 85206-4375
- **Mailing address phone:** (480) 807-8022
- **Mailing address fax:** (480) 807-5955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | NULL | Yes |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020