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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CENTRAL AVENUE SPECIALTY, PLLC.

Active Organization

CENTRAL AVENUE SPECIALTY, PLLC. is a Endodontics organization located in PHOENIX, Arizona. NPI 1104257963 is currently active in the NPPES registry. Verify at CMS.

Endodontics · PHOENIX, AZ

Registration Details

NPI Number
1104257963
Provider Type
Organization
NPI Issued
Dec 4, 2013 (12.726716015659 yrs)
Last Updated
Dec 4, 2013
Licenses
D008106 (AZ)
D008035 (AZ)
D07259 (AZ)

Practice Information

Address
5133 N CENTRAL AVE
SUITE 200
PHOENIX, AZ, 850121438
Browse AZ providers · Browse ZIP 85012
Phone
6022661776
Fax
6022341814
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Endodontics

Other Endodontics Organizations in PHOENIX, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.