Affordable Dentures & Implants - Avondale, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - AVONDALE, P.C.

Practice address

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Phone

(623) 688-5596

NPI assigned

Dec 6, 2022

Last updated

Dec 6, 2022By 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

Nozar Tarkesh, DMD

Title

Owner

Phone

(623) 688-5596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1407567837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N DYSART RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921200",
            "telephone_number": "623-688-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N DYSART RD STE 105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921200",
            "telephone_number": "623-688-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - AVONDALE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "TARKESH",
        "authorized_official_first_name": "NOZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-688-5596",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Agua Fria Union High School District
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• General Practice Dentistry in Avondale, AZ
• Providers in Avondale, 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 Dec 6, 2022; 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.