# ASSOCIATED DENTAL CARE PROVIDERS

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

## Provider details

- **NPI number:** 1962538579
- **Authorized official:** LAURA CLEVELAND (SYSTEMS COORDINATOR)
- **Authorized official phone:** (520) 290-9702

## Contact information

- **Practice address:** 5620 W THUNDERBIRD RD STE G1, GLENDALE, AZ 85306-4652
- **Practice address phone:** (602) 522-2835
- **Practice address fax:** (602) 588-2936
- **Mailing address:** 5620 W THUNDERBIRD RD STE G1, GLENDALE, AZ 85306-4652
- **Mailing address phone:** (602) 522-2835
- **Mailing address fax:** (602) 588-2936

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 08/22/2020