Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bryce E Slack

Individual provider General Practice Dentistry · NPI 1013438100

Dr. Bryce E Slack is a General Practice Dentistry in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona and Oklahoma.

Licensed in
AZ, OK
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5400 W Northern Ave Ste 202
Glendale, AZ 85301-1591
Phone: (623) 500-5793
Fax: (623) 321-1030
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D010940 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6979 (OK)

Record details

NPI number1013438100
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2017
Last updated in NPPESFebruary 20, 2025
Certification dateFebruary 20, 2025
Mailing address9169 W Alex Ave, Peoria, AZ 85382-8344

Other providers in Glendale