Organization · Type 2 NPI

Arizona Dental Professionals, P.c.

General Practice Dentistry · Phoenix, AZ

NPI number 1194030031 Active

Practice location

19636 N 27th Ave Ste 110
Phoenix, AZ 85027-4014

Fax (623) 587-1704

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	S4313 (AZ)

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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NPI record

NPI: 1194030031
Entity type: Organization (Type 2)
Issued: Aug 16, 2010
Last updated: Feb 4, 2014
Status: Active
Subpart: Yes of Arizona Dental Professionals, P.c.

Other names

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Deer Valley Family Dentistry · doing business as

Authorized official

Carmen Woods
Insurance Coordinator
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194030031

Arizona Dental Professionals, P.c.'s National Provider Identifier is 1194030031, issued on Aug 16, 2010. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 4, 2014.