Stetson Village Family Dentistry - Peoria LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STETSON VILLAGE FAMILY DENTISTRY - PEORIA LLC

Doing business as

Stetson Village Family Dentistry - Peoria

Practice address

6847 W Happy Valley Rd
Ste 101
Peoria, AZ 85383

Phone

(623) 259-8260

NPI assigned

Apr 17, 2026

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tony Brock

Title

Owner

Phone

(623) 259-8260

Specialties & licenses 1

Addresses

Other names 1

• Stetson Village Family Dentistry - Peoria Doing business as

Locations

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1760326896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 W HAPPY VALLEY RD",
            "address_2": "STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 W HAPPY VALLEY RD",
            "address_2": "STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "623-259-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STETSON VILLAGE FAMILY DENTISTRY - PEORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-259-8260"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stetson Village Family Dentistry - Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen L Kim, DMD, LLC
• Cassandra Stephens
• Daniel Thomas Stephens, MA, LMHC, LPC, NCC
• Jaimie Stephenson, PSYD
• Paul Sterrett, N.P.
• Steven C Boles DO PLC
• Karen Irene Stevens, DMD
• Kathryn R Stevens, SLPA
• Russell G Stevenson Jr., BS, MA, RPH
• Deana Stewart, RPSS

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, 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 16, 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.