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Provider Information for 1912112202

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DR. THOMAS JOSEPH PICCOLO D.D.S.

Gender: MALE

Individual NPI: 1912112202

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1912112202
Enumeration Date 2007-05-11
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8591 E BELL RD SUITE 100
SCOTTSDALE, AZ 85260-1305
United States

Phone: 480-951-2782 | Fax: 480-951-2886
View Map External Link
Primary Practice Address 8591 E BELL RD SUITE 100
SCOTTSDALE, AZ 85260-1305
United States

Phone: 480-951-2782 | Fax: 480-951-2886
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist AZ 3211