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Contact Information

TIM R AVEDOVECH, DDS
4035 E INDIAN SCHOOL RD
PHOENIX, AZ85018-5219
 Phone: 602-321-2414
 Fax: 480-497-5162
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for TIM R AVEDOVECH · (Male)

NPI Number 1225182090
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/22/2007
Last updated 11/04/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 1598
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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