AVONDALE VALLEY DENTAL LLC NPI 1497396113

NPI Information

NPI: 1497396113
Provider Name: AVONDALE VALLEY DENTAL LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
10750 W MCDOWELL RD STE F610
AVONDALE, AZ
ZIP 85392
Phone: (623) 474-2900
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AVONDALE VALLEY DENTAL LLC is a pediatric dentistry dentist in Avondale, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. AVONDALE VALLEY DENTAL LLC NPI is 1497396113. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10750 W MCDOWELL RD STE F610
AVONDALE, AZ
ZIP 85392-976
Phone: (623) 474-2900

The provider's authorized official is Faith Gaskins .
The authorized official title is Director Of Credentialing and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 10/3/2019 and was last updated on 10/3/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry			Yes

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: 11/14/2023

NPI Synchronization or Removal

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