Organization
CHANDLER DENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GIACOBBI DDS (OWNER)
(480) 899-6677
Entity
Organization
Contact information
Practice address
1035 W QUEEN CREEK RD, SUITE 206, CHANDLER, AZ 85248-8123
(480) 899-6677
Mailing address
1035 W QUEEN CREEK RD, SUITE 206, CHANDLER, AZ 85248-8123
(480) 899-6677
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4869
AZ
1223G0001X
General Practice Dentistry
4976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4869
DENTAL LICENSE
AZ
01
—
4976
DENTAL LICENSE
AZ
Enumeration date
01/09/2007
Last updated
08/22/2020
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