Dental on Central, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DENTAL ON CENTRAL, LLC

Practice address

5133 N Central Ave Ste 102
Phoenix, AZ 85012-1438

Phone

(602) 266-1776

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Nichole Vaughan

Title

Administrator

Phone

(480) 241-0026

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720515315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-266-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-266-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ON CENTRAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-241-0026"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Design of Arcadia
• Dental Hearts
• Dental Home Concepts
• Dental Home, LLC
• Dental Master Design, PLLC
• Dental One, Inc.
• Dental One, Inc.
• Dentistry at 35TH Avenu
• Dentistry for You
• Dentists of Happy Valley, LLP

• Ambulatory Surgical Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ambulatory Surgical Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.