Glendale Dentistry Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7840 Issued in AZ

Legal business name

GLENDALE DENTISTRY GROUP

Doing business as

Arizona Aesthetic Dentistry

Practice address

7102 N 35TH Ave
Suite 1
Phoenix, AZ 85051-8390

Phone

(602) 242-1996

Fax

(602) 242-1477

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Taroll Ann Graziano, BA

Title

Manager

Phone

(602) 242-1996

Specialties & licenses 1

Addresses

Other names 1

• Arizona Aesthetic Dentistry Doing business as

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1437584042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 N 35TH AVE",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518390",
            "telephone_number": "602-242-1996",
            "fax_number": "602-242-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 N 35TH AVE",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850518390",
            "telephone_number": "602-242-1996",
            "fax_number": "602-242-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE DENTISTRY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "TAROLL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-242-1996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D7840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Aesthetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jocelyn Rose Gledhill, RN CLC
• David J Glembocki, MD
• Glen Halvorson MD PLLC
• Glenbo, LLC (Right at Home)
• Glendale Chiropractic PLLC
• Glendale Medical Center
• Glendale Medical Center PLLC (Camelback Pain Centers)
• Glendale Medical Group LLC
• Glendale Medical Partners LLC (Camelback Medical Centers)
• Glendale Pediatrics LLC (Glendale Pediatrics & Family Care)

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Sep 13, 2013; 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.