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

94TH DRIVE, LLC

Active Organization

94TH DRIVE, LLC is a Dentist organization located in PEORIA, Arizona. NPI 1174769590 is currently active in the NPPES registry. Verify at CMS.

Dentist · PEORIA, AZ

Registration Details

NPI Number
1174769590
Provider Type
Organization
NPI Issued
Jan 7, 2009 (17.592941492622 yrs)
Last Updated
Jan 7, 2009
License
D6772 (AZ)

Practice Information

Address
13660 N 94TH DR
B-1
PEORIA, AZ, 853814836
Browse AZ providers · Browse ZIP 85381
Phone
6239772551
Fax
6239779515
Primary Specialty
Dentist
122300000X
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.