# UNIVERSITY DENTAL

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

## Provider details

- **NPI number:** 1952352577
- **Authorized official:** MRS. CAROLYN C GEDDES (OWNER/MGR)
- **Authorized official phone:** (480) 644-7777

## Contact information

- **Practice address:** 1010 E UNIVERSITY DR, MESA, AZ 85203-8055
- **Practice address phone:** (480) 644-7777
- **Practice address fax:** (480) 833-2990
- **Mailing address:** 22902 E ERIE ST, MESA, AZ 85212-7006
- **Mailing address phone:** (480) 988-4343

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 08/22/2020