Organization
STOMADENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SIMCOX (DIRECTOR, REVENUE CYCLE MANAGEMENT)
(201) 400-1481
Entity
Organization
Contact information
Practice address
2330 N 75TH AVE STE 112, PHOENIX, AZ 85035-1221
(623) 849-0477
Mailing address
2330 N 75TH AVE STE 112, PHOENIX, AZ 85035-1221
(623) 849-0477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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