Organization
SCOTTSDALE SURGICAL ARTS, P.C.
Active
Organization
SCOTTSDALE SURGICAL ARTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JEFFREY GASSMANN M.D., D.D.S. (BUSINESS OWNER)
(480) 922-9933
Entity
Organization
Contact information
Practice address
10603 N HAYDEN RD, SUITE H-112, SCOTTSDALE, AZ 85260-5504
(480) 922-9933
(480) 607-9120
Mailing address
10603 N HAYDEN RD, SUITE H-112, SCOTTSDALE, AZ 85260-5504
(480) 922-9933
(480) 607-9120
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D4868
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0801420
BCBS
AZ
01
—
2004003
AETNA
AZ
01
—
898101
UNITED CONCORDIA
AZ
Enumeration date
08/10/2007
Last updated
08/10/2007
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