| J Stanley Reidhead Dds Pc | |
|
2076 E Southern Ave Suite C-103 Tempe AZ 85282-7596 | |
| (480) 839-0366 | |
| (480) 775-8608 |
| Full Name | J Stanley Reidhead Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2076 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Joseph Stanley Reidhead (PRESIDENT) |
| Authorized Official Contact | 4808390366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Stanley Reidhead Dds Pc 2076 E Southern Ave Suite C 103 Tempe AZ 85282-7520 Ph: (480) 839-0366 | J Stanley Reidhead Dds Pc 2076 E Southern Ave Suite C-103 Tempe AZ 85282-7596 Ph: (480) 839-0366 |
| NPI Number | 1104017326 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104017326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3344 (Arizona) | Primary |
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