Peoria Valley Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEORIA VALLEY FAMILY DENTISTRY PLLC

Practice address

7017 W Irma LN
Glendale, AZ 85308-9474

Phone

(406) 544-1961

NPI assigned

Aug 3, 2026

Organization subpart

No

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

Authorized official

Name

Eric Larson, DMD

Title

Owner

Phone

(406) 544-1961

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1679496095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7017 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089474",
            "telephone_number": "406-544-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 W IRMA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089474",
            "telephone_number": "406-544-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA VALLEY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-544-1961",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peoria Dental1 LLC (C R Smiles Dental Center)
• Peoria Unified School District
• Peoria Unified School District #11
• Eric S Percy-Fine, PT
• Annie Larissa Perdomo, ARNP
• Perennial Counseling LLC
• Alexis Perez
• Brittany Perez, RBT

• Dental Clinic/Center in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.