Dental Onw

Primary specialty

DentistTaxonomy code 122300000X

License

3303 Issued in AZ

Legal business name

DENTAL ONW

Doing business as

West Valley Family Dental

Practice address

20359 N 59TH Ave
#101
Glendale, AZ 85308

Phone

(623) 376-9400

Fax

(623) 376-7765

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dee Bretall

Title

Office Manager

Phone

(623) 376-9400

Specialties & licenses 2

Addresses

Other names 1

• West Valley Family Dental Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083724579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20359 N 59TH AVE",
            "address_2": "#101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-376-9400",
            "fax_number": "623-376-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20359 N 59TH AVE",
            "address_2": "#101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-376-9400",
            "fax_number": "623-376-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ONW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRETALL",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "623-376-9400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "3303",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6691",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Valley Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clay Robert Densmore, DPT
• Ciarra Denson
• Dental and Braces Camelback 2
• Dental and Braces Maryvale LLC
• Dental Apnea Professionals PLLC
• Dentamed Management LLC
• Dentistryone of Arizona PC
• Dentists of North Glendale, LLP
• Julie Ann Denton, FNP-C
• Dentopro, LLC

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.