Provider Demographics
NPI:1528239191
Name:ELIZABETH J. FLEMING, DDS PC
Entity type:Organization
Organization Name:ELIZABETH J. FLEMING, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-860-4300
Mailing Address - Street 1:20950 N TATUM BLVD STE 280
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-4254
Mailing Address - Country:US
Mailing Address - Phone:480-860-4300
Mailing Address - Fax:480-419-7814
Practice Address - Street 1:20950 N TATUM BLVD STE 280
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-4254
Practice Address - Country:US
Practice Address - Phone:480-860-4300
Practice Address - Fax:480-419-7814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty