Organization Active NPI

Wholesale Dentistry Group LLC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1316181910
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHOLESALE DENTISTRY GROUP LLC
Practice address
3414 W Union Hills Dr.
Suite 14
Phoenix, AZ 85027
Phone
(623) 434-0620
NPI assigned
Apr 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Taroll Ann Braziano
Title
Manager
Phone
(623) 225-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3414 W Union Hills Dr.
Suite 14
Phoenix, AZ 85027

Mailing address

23525 N 67TH Ave
Glendale, AZ 85310
Phone (623) 434-0620

Other names 1

  • Union Hills Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

3414 W Union Hills Dr
Ste 14
Phoenix, AZ 85027
Phone (623) 434-0620

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1316181910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23525 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85310",
            "telephone_number": "623-434-0620",
            "fax_number": "623-572-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W UNION HILLS DR.",
            "address_2": "SUITE 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85027",
            "telephone_number": "623-434-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESALE DENTISTRY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "BRAZIANO",
        "authorized_official_first_name": "TAROLL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-225-6555"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Hills Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.