Organization
SCOTTSDALE DENTAL GROUP, PLC
Active
Other names
Biltmore Innovative Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TERESE EBNER DDS, MS (OWNER/DENTIST)
(602) 612-2262
Entity
Organization
Contact information
Practice address
4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
(602) 612-2262
(602) 581-3344
Mailing address
4444 N 32ND ST STE 100, PHOENIX, AZ 85018-3956
(602) 612-2262
(602) 581-3344
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626192
—
AZ
Enumeration date
09/19/2019
Last updated
09/19/2019
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