Organization
GORDON K. ROEDIGER, D.D.S., EASTSIDE, P.C.
Active
Other names
Acacia Family Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON KENT ROEDIGER D.D.S. (PRESIDENT/OWNER)
(520) 795-3773
Entity
Organization
Contact information
Practice address
5190 E FARNESS DR STE 100, TUCSON, AZ 85712-2142
(520) 795-3773
(520) 795-4008
Mailing address
5190 E FARNESS DR STE 100, TUCSON, AZ 85712-2142
(520) 795-3773
(520) 795-4008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2385
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093925232
NPI
AZ
01
—
1457543613
NPI
AZ
01
—
1669532057
NPI
AZ
Enumeration date
12/20/2007
Last updated
12/20/2007
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