Arrowhead Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D6772 Issued in AZ

Legal business name

ARROWHEAD DENTAL GROUP, LLC

Practice address

7545 W Bell Rd
#105
Peoria, AZ 85382-3832

Phone

(623) 412-2461

Fax

(623) 979-7364

NPI assigned

Dec 22, 2008

Organization subpart

No

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

Authorized official

Name

Miss Fawne E Pryor, MGR

Title

Insurance Manager

Phone

(623) 582-3902

Specialties & licenses 1

Addresses

Other names 1

• 75th Avenue Dentistry Doing business as

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1528204591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 W BELL RD",
            "address_2": "#105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823832",
            "telephone_number": "623-412-2461",
            "fax_number": "623-979-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 W BELL RD",
            "address_2": "#105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823832",
            "telephone_number": "623-412-2461",
            "fax_number": "623-979-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "FAWNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "623-582-3902",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MGR"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "75th Avenue Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorraine Arnold, PHARMD
• Chloe Arns
• Rakesh Kumar Arora, MD
• Girolamo Jerry Arpino, D.O.
• Arrowhead Dental Group and Orthodontics, LLP
• Arrowhead Family Dentistry, PC
• Arrowhead Health Coach
• Arrowhead North Surgery Center
• Arrowhead Physical Group LLC
• Arrowhead Treatment Center LLC

• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.