# BRENDA TAEGE, DDS, LLC

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

## Provider details

- **NPI number:** 1952514572
- **Authorized official:** BRENDA TAEGE D.D.S. (MANAGING MEMBER)
- **Authorized official phone:** (480) 860-6744

## Contact information

- **Practice address:** 8416 E SHEA BLVD, SUITE C100, SCOTTSDALE, AZ 85260-6666
- **Practice address phone:** (480) 860-6744
- **Practice address fax:** (480) 860-8777
- **Mailing address:** 8416 E SHEA BLVD, SUITE C100, SCOTTSDALE, AZ 85260-6666
- **Mailing address phone:** (480) 860-6744
- **Mailing address fax:** (480) 860-8777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D5941 | AZ | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 10/30/2008