Canyon Modern Dentistry - Dental Clinic in Surprise, AZ

Canyon Modern Dentistry is a dental clinic (Dentist - General Practice) in Surprise, Arizona. The current practice location for Canyon Modern Dentistry is 17081 W Greenway Rd Ste 121, Surprise, Arizona. For appointments, you can reach them via phone at (623) 546-8400. The mailing address for Canyon Modern Dentistry is 2860 Michelle Drive 2nd Floor, Irvine, California and phone number is (714) 368-2077.

Canyon Modern Dentistry is licensed to practice in * (Not Available) (license number ) and its NPI number is 1194021170. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (623) 546-8400.

Contact Information

Canyon Modern Dentistry
17081 W Greenway Rd Ste 121
Surprise
AZ 85388-9612
(623) 546-8400
(623) 214-5830

Dental Care Clinic Profile

Full NameCanyon Modern Dentistry
SpecialityDentist - General Practice
Location17081 W Greenway Rd Ste 121, Surprise, Arizona
Authorized Official Name and PositionJames B Mallory (OWNER DOCTOR)
Authorized Official Contact6235468400
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Canyon Modern Dentistry
2860 Michelle Drive 2nd Floor
Irvine
CA 92606

Ph: (714) 368-2077
Canyon Modern Dentistry
17081 W Greenway Rd Ste 121
Surprise
AZ 85388-9612

Ph: (623) 546-8400

NPI Details:

NPI Number1194021170
Provider Enumeration Date02/08/2011
Last Update Date02/08/2011

Medical Identifiers

Medical identifiers for Canyon Modern Dentistry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194021170NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

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