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MARYVALE DENTAL PARTNERS LLC NPI 1407148026


NPI Information

NPI: 1407148026
Provider Name: MARYVALE DENTAL PARTNERS LLC

Former Legal Business Name: GLENFAIR DENTAL PARTNERS PLLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6026 N 59TH AVE
GLENDALE, AZ
ZIP 85301
Phone: (303) 378-9793
Get Directions

MARYVALE DENTAL PARTNERS LLC is a general practice dentist in Glendale, AZ. The provider is 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. MARYVALE DENTAL PARTNERS LLC NPI is 1407148026. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Glenfair Dental Partners Pllc.

The provider's business location address is:

6026 N 59TH AVE
GLENDALE, AZ
ZIP 85301-709
Phone: (303) 378-9793

The provider's authorized official is Whitney B Wright .
The authorized official title is Manager and has the following contact phone number (602) 489-0298.

The enumeration date for this NPI number is 5/16/2011 and was last updated on 4/15/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD0008186ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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