Veneberg, Candace H

Veneberg, Candace H is an individual health care provider with primary practice located at 12020 E Shea Blvd Suite 8, Scottsdale AZ 85259-4179. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Veneberg, Candace H can be contacted via phone (480) 767-5600.

Contact Information

Primary practice address
12020 E Shea Blvd Suite 8 Scottsdale AZ 85259-4179
Phone: (480) 767-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3792 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 73 Arkansas
Dental Providers / Pediatric Dentistry 1223P0221X 9209 Arizona

Profile Details

NPI number 1619073814
LBN Legal business name Veneberg, Candace H
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 31st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619073814 NPPES
Arizona MEDICAID 063499
Arizona MEDICAID 184293608

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