MJC Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1783 Issued in AZ

Legal business name

MJC DENTAL, PLLC

Doing business as

Avalon Dental

Practice address

6744 E Avalon Dr
Scottsdale, AZ 85251-7106

Phone

(480) 947-7222

Fax

(480) 947-3292

NPI assigned

Jul 10, 2010

Last updated

Jul 10, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Cavendish, D.D.S.NPI 1922019462

Title

Owner/Member

Phone

(480) 440-1316

Specialties & licenses 1

Addresses

Other names 1

• Avalon Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew James Cavendish, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1922019462
  NPD (past) Authorized official
• John A Piakis, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1013975127
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1073825725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 E GREENWAY RD",
            "address_2": "102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324805",
            "telephone_number": "480-440-1316",
            "fax_number": "602-482-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6744 E AVALON DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517106",
            "telephone_number": "480-947-7222",
            "fax_number": "480-947-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJC DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "CAVENDISH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "480-440-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avalon Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anne Mercita Mitzak, CRNA
• Duane L. Mitzel, MD
• Mix Compounding, LLC (Mix Compounding)
• Derek Mix, RBT
• Kimberlyn Mizera-Lieske, ND
• MJW Medical Solutions, PLLC
• ML Haynie DMD PC
• Mlve Inc. (Scottsdale Health Pharmacy)
• MMT Surgical PC
• Moataz Karawi D.D.S L,L,C

• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.