Artisan Family Dentistry LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5467 Issued in AZ

Legal business name

ARTISAN FAMILY DENTISTRY LLC

Practice address

18555 N 59TH Ave
Suite 127
Glendale, AZ 85308-1255

Phone

(602) 588-7777

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Patrick Carson, DMD

Title

Owner/Manager

Phone

(602) 588-7777

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1932388188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 N 59TH AVE",
            "address_2": "SUITE 127",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081255",
            "telephone_number": "602-588-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 N 59TH AVE",
            "address_2": "SUITE 127",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081255",
            "telephone_number": "602-588-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTISAN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "602-588-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "5467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 22, 2019; 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.