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MARYLAND AVENUE PERIODONTICS, LLC
NPI 1053602953
Dentist - Periodontics in Phoenix, AZ

Active since April 26, 2011
6520 N 7TH AVE STE 5, PHOENIX, AZ 85013(602) 242-2588(602) 242-3137 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryland Avenue Periodontics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND AVENUE PERIODONTICS, LLC (NPI 1053602953) is a healthcare organization registered as a periodontics in Phoenix, Arizona and active in the NPI registry since April 2011. The organization lists Jennifer Warner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053602953
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameMARYLAND AVENUE PERIODONTICS, LLC
Location Address6520 N 7TH AVE STE 5Phoenix, AZ 85013-1158
Mailing Address6520 N 7th Ave Ste 5Phoenix, AZ 85013-1158 · (602) 242-2588 · Fax (602) 242-3137
Phone(602) 242-2588
Fax(602) 242-3137
Organization SubpartNo
Authorized OfficialJennifer WarnerOffice Manager · (602) 242-2588
Enumeration DateApril 26, 2011
✔ NPI 1053602953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6520 N 7TH AVE STE 5, Phoenix, AZ 85013
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY SEBREE
Dentist
6520 N 7TH AVE STE 5
PHOENIX, AZ 85013
Maricopa County (602) 730-7012
JASON MICHAEL GOLDBERG D.D.S.
Dentist (Oral and Maxillofacial Surgery)
6520 N 7TH AVE STE 5
PHOENIX, AZ 85013
Maricopa County (602) 277-5304

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryland Avenue Periodontics, LLC's NPI number?

The NPI number for Maryland Avenue Periodontics, LLC is 1053602953. It was assigned to this organization in the NPPES registry on April 26, 2011.

Where is Maryland Avenue Periodontics, LLC located?

Maryland Avenue Periodontics, LLC is located at 6520 N 7th Ave Ste 5, Phoenix, AZ 85013. The listed phone number is (602) 242-2588.

What is Maryland Avenue Periodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Maryland Avenue Periodontics, LLC was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.