# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Dental Care of Anthem Crossroads
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861972119
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** JESSICA BRITT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8426

## Contact information

- **Practice address:** 39504 N DAISY MOUNTAIN DR STE 106, ANTHEM, AZ 85086-6065
- **Practice address phone:** (623) 231-2232
- **Mailing address:** 39504 N DAISY MOUNTAIN DR STE 106, ANTHEM, AZ 85086-6065
- **Mailing address phone:** (623) 231-3009
- **Mailing address fax:** (623) 215-3512

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 11/09/2018