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NPI 1346239555

IndividualActive

Elizabeth Tandy, DMD

NPI 1346239555 · Periodontics · Gilbert, AZ

Provider details

NPI number: 1346239555
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DMD
Sex: Female
Sole proprietor: Yes
License: D7045 (AZ)

Practice location

633 E Ray Rd

Suite 104

Gilbert, AZ 85296-4200

Phone: (480) 782-1131

Fax: (480) 855-7088

More AZ providers

Mailing address

4756 E. Bighorn Avenue

Phoenix, AZ 85044

Registry dates

Enumerated: 2005-10-19
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Elizabeth Tandy, DMD — NPI 1346239555, Gilbert, AZ | NPI Central