Organization
NORTH VALLEY ENDODONTICS, P.A.
Active
Other names
Valley Endodontic Specialty Group, Valley Endodontics and Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH HENEBRY (CREDENTIALING COORDINATOR)
(602) 734-4518
Entity
Organization
Contact information
Practice address
702 E BELL RD STE 111, PHOENIX, AZ 85022-6639
(602) 404-3800
(602) 404-0983
Mailing address
8121 E INDIAN BEND RD STE 128, SCOTTSDALE, AZ 85250-4820
(026) 734-4518
(602) 482-7021
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4411
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013359603
—
AZ
05
—
1164880779
—
AZ
05
—
1174922025
—
AZ
05
—
1205192663
—
AZ
05
—
1326230632
—
AZ
05
—
1336281856
—
AZ
05
—
1366857518
—
AZ
05
—
1477520146
—
AZ
05
—
1518218825
—
AZ
05
—
1548657315
—
AZ
05
—
1548791486
—
AZ
05
—
1558600643
—
AZ
05
—
1649313313
—
AZ
05
—
1679878938
—
AZ
05
—
1699749978
—
AZ
05
—
1700298262
—
AZ
05
—
1730486630
—
AZ
05
—
1740486737
—
AZ
05
—
1770937146
—
AZ
05
—
1821260951
—
AZ
05
—
1972713493
—
AZ
Enumeration date
06/27/2006
Last updated
04/28/2022
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