Organization
WILD WEST ORTHODONTICS INC.
Active
Organization
WILD WEST ORTHODONTICS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE AYOUB DDS (OWNER/DOCTOR)
(623) 536-2040
Entity
Organization
Contact information
Practice address
14122 W MCDOWELL RD STE 200, GOODYEAR, AZ 85395-2505
(623) 536-2040
(623) 536-8555
Mailing address
14122 W MCDOWELL RD STE 200, GOODYEAR, AZ 85395-2505
(623) 536-2040
(623) 536-8555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0008582
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215184528
TYPE 1 NPI
AZ
Enumeration date
02/07/2013
Last updated
02/07/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up