Search › Arizona › 1223P0221X
Tina Ptacek, DMD
NPI 1649403775 · on the registry since 2009
Practice
- Address
- 15180 N Cotton Ln Ste 104
Surprise, AZ 85388 - Phone
- (623) 214-6543
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223P0221X
- Licence states on file
- TX, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona