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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