Individual
DR. SOLOMON T WOLDESILASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
26224 N TATUM BLVD, SUIT # 10, PHOENIX, AZ 85050-7500
(480) 563-4173
(480) 563-5019
Mailing address
26224 N TATUM BLVD, SUIT # 10, PHOENIX, AZ 85050-7500
(480) 563-4173
(480) 563-5019
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5005068
DELTA OF AZ
AZ
01
—
694548
MERCY CARE (AHCCCS)
AZ
01
—
700534
UNITED CONCORDIA
AZ
01
—
AZ0499860
BCBS OF AZ
AZ
Enumeration date
08/29/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us