Organization · Type 2 NPI

Dental Depot 91st & Indian School, PLLC

General Practice Dentistry · Phoenix, AZ

NPI number 1073204012 Active

Practice location

4115 N. 91st Ave.
Phoenix, AZ 85037

Call (623) 604-6723 Map

Fax (480) 741-8850

Mailing address

2828 NW 30th St
Oklahoma City, OK 73112-7404

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1073204012

Dental Depot 91st & Indian School, PLLC's National Provider Identifier is 1073204012, issued on May 19, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on May 30, 2025.