NPIMap

Organization Active NPI

Goodyear Dental LLC

  • General Practice Dentistry
  • Goodyear, AZ
National Provider Identifier
1790449742
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOODYEAR DENTAL LLC
Doing business as
Goodyear Dental LLC
Practice address
650 N Estrella Parkway Suitea5
Ste. A5
Goodyear, AZ 85338
Phone
(623) 322-1399
Fax
(888) 965-9551
NPI assigned
Oct 26, 2021
Organization subpart
Yes
Parent organization
GOODYEAR DENTAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Sabrina K Dhanjal, DDSNPI 1487796751
Title
Owner
Phone
(623) 322-1399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

650 N Estrella Parkway Suitea5
Ste. A5
Goodyear, AZ 85338

Mailing address

650 N Estrella Parkway Suitea5
Ste. 5
Goodyear, AZ 85338
Phone (623) 322-1399

Other names 1

  • Goodyear Dental LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Goodyear Dental LLC2 organizations share this tax ID, including this one
Part of
Goodyear Dental LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

650 N Estrella Pkwy
Ste 5
Goodyear, AZ 85338
Phone (623) 322-1399

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1790449742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ESTRELLA PARKWAY SUITEA5",
            "address_2": "STE. 5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-322-1399",
            "fax_number": "888-965-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N ESTRELLA PARKWAY SUITEA5",
            "address_2": "STE. A5",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85338",
            "telephone_number": "623-322-1399",
            "fax_number": "888-965-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODYEAR DENTAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOODYEAR DENTAL LLC",
        "enumeration_date": "2021-10-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "DHANJAL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-322-1399",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodyear Dental LLC",
            "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 May 14, 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.