Maryvale Children'S Dentistry and Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC

Practice address

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

Phone

(480) 432-3363

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jesse McGuire Jr., DDSNPI 1376780973

Title

Member

Phone

(480) 432-3363

Specialties & licenses 1

Addresses

Other names 2

• Maryvale Children's Dentistry Doing business as
• Maryvale Children's Dentistry and Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Robert McGuire Jr., D.D.S. M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goodyear, AZ
  • NPI 1376780973
  NPD Authorized official

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1245089952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12945 S 176TH LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853385786",
            "telephone_number": "480-432-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N 51ST AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311237",
            "telephone_number": "480-432-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-432-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryvale Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryvale Children's Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryland Garden Dental
• Maryland Gardens SNF, LLC
• Maryland Gardens SNF, LLC
• Don Andrew Maryon, MS, LAC
• Maryvale Cardiology PC
• Maryvale Dental Studio
• Maryvale Facility Group LLC
• Maryvale Family Practice Group Inc.
• Maryvale Medical LLC
• Maryvale Pediatric Clinic

• All providers in Phoenix, AZ
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.