# ACACIA DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MathewsJeffrey A Single Member
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891907630
- **Authorized official:** DR. JEFFREY ARTHUR MATHEWS D.D.S. (OWNER)
- **Authorized official phone:** (480) 831-7775

## Contact information

- **Practice address:** 7517 S. MCCLINTOCK DR., SUITE 1006, TEMPE, AZ 85283-5011
- **Practice address phone:** (480) 831-7775
- **Practice address fax:** (480) 831-8108
- **Mailing address:** 1321 E KRISTA WAY, TEMPE, AZ 85284-1658
- **Mailing address phone:** (480) 831-7775
- **Mailing address fax:** (480) 831-8108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4342 | AZ | — |
| 261QD0000X | Dental Clinic/Center | 4342 | AZ | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 07/25/2008
