Provider Demographics
NPI:1053451971
Name:MCCORMICK DENTAL PC
Entity type:Organization
Organization Name:MCCORMICK DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-998-2971
Mailing Address - Street 1:10601 N HAYDEN RD
Mailing Address - Street 2:STE. 101
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-5570
Mailing Address - Country:US
Mailing Address - Phone:480-998-2971
Mailing Address - Fax:480-998-0467
Practice Address - Street 1:10601 N HAYDEN RD
Practice Address - Street 2:STE. 101
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-5570
Practice Address - Country:US
Practice Address - Phone:480-998-2971
Practice Address - Fax:480-998-0467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2720261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental