Organization · Type 2 NPI

Maryvale Children's Dentistry and Orthodontics PLLC

Dental Clinic/Center · Phoenix, AZ

NPI number 1245089952 Active

Practice location

4700 N 51st Ave Ste 3
Phoenix, AZ 85031-1237

Call (480) 432-3363 Map

Mailing address

12945 S 176th Ln
Goodyear, AZ 85338-5786

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Ronald Day Morgan, DMDGeneral Practice Dentistry Phoenix, AZ NPI 1093935181

Other dental clinic/center providers in Phoenix

See all in Phoenix →

NPI record

NPI: 1245089952
Entity type: Organization (Type 2)
Issued: May 15, 2024
Last updated: May 15, 2024
Status: Active

Other names

Maryvale Children's Dentistry · doing business as
Maryvale Children's Dentistry and Orthodontics · doing business as

Authorized official

Dr. Jesse McGuire, DDS
Member
(480) 432-3363

Verify this record

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.

Is this your record? How to update it.

About NPI 1245089952

Maryvale Children's Dentistry and Orthodontics PLLC's National Provider Identifier is 1245089952, issued on May 15, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Phoenix, AZ. The record was last updated on May 15, 2024.