NPIMap

Organization Active NPI

Southwest Dental Center, Inc

  • Dentist
  • Goodyear, AZ
National Provider Identifier
1508909300
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4013 Issued in AZ
Legal business name
SOUTHWEST DENTAL CENTER, INC
Practice address
105 N Litchfield Rd
Goodyear, AZ 85338-1617
Phone
(623) 932-3200
Fax
(623) 932-3222
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Lewis Dalton, D.D.S.
Title
Senior Provider
Phone
(623) 932-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D4013 AZ Primary

Addresses

Primary practice location

105 N Litchfield Rd
Goodyear, AZ 85338-1617

Mailing address

600 E University Dr
Corp
Mesa, AZ 85203-7927
Phone (480) 610-6440

Other names 1

  • Sun West Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

105 N Litchfield Rd
Goodyear, AZ 85338
Phone (623) 932-3200

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508909300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E UNIVERSITY DR",
            "address_2": "CORP",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037927",
            "telephone_number": "480-610-6440",
            "fax_number": "480-610-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381617",
            "telephone_number": "623-932-3200",
            "fax_number": "623-932-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST DENTAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "SENIOR PROVIDER",
        "authorized_official_telephone_number": "623-932-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

  • 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.