| Jl Shaughnessy Dental Associates | |
|
42104 N Venture Court Bldg E Suite 103 Anthem AZ 85086 | |
| (623) 551-9200 | |
| (623) 551-9102 |
| Full Name | Jl Shaughnessy Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 42104 N Venture Court, Anthem, Arizona |
| Authorized Official Name and Position | Jammie Shaughnessy (OWNER/HYGIENIST) |
| Authorized Official Contact | 6235519200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jl Shaughnessy Dental Associates 42104 N Venture Court Bldg E Suite 103 Anthem AZ 85086 Ph: (623) 551-9200 | Jl Shaughnessy Dental Associates 42104 N Venture Court Bldg E Suite 103 Anthem AZ 85086 Ph: (623) 551-9200 |
| NPI Number | 1437235769 |
|---|---|
| Provider Enumeration Date | 10/30/2006 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437235769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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