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Arizona Dental Professionals, P.C.

Organization Active NPI General Practice Dentistry · Fountain Hills, AZ

NPI 1942967112 · NPPES record last updated Dec 18, 2024

Key facts

NPI
1942967112
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Practice address
16425 E Palisades Blvd Ste 106
Fountain Hills, AZ 85268-3754
Phone
(480) 837-5227
NPI assigned
Nov 23, 2021
Organization subpart
Yes
Parent organization (as reported)
ARIZONA DENTAL PROFESSIONALS, P.C.

Authorized official

Name
Juli Renee Mietzner
Title
Manager
Phone
(217) 540-5651

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.

Corporate family (same tax ID) 15

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

National Provider Directory

Tax ID family
Arizona Dental Professionals PC (63 organizations share this tax ID)
Part of
Arizona Dental Professionals PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

16425 E Palisades Blvd Ste 106
Fountain Hills, AZ 85268-3754

Mailing address

16425 E Palisades Blvd Ste 106
Fountain Hills, AZ 85268-3754

Other names

  • Fountain Hills Family Dentistry Doing business as

Other providers in Fountain Hills, AZ

All providers in Fountain Hills, AZ · General Practice Dentistry in Arizona

Sources for this page

Verify at the official NPI Registry.