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PHOENIX VALLEY DENTAL LLC
NPI 1063110013
Clinic/Center - Dental in Phoenix, AZ

Active since February 20, 2023
2715 W NORTHERN AVE STE 101, PHOENIX, AZ 85051(602) 864-5007 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Valley Dental Llc NPPES

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

PHOENIX VALLEY DENTAL LLC (NPI 1063110013) is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Brandt Hansen, Dentist, as its authorized official.

NPPES Registry Identity

NPI1063110013
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePHOENIX VALLEY DENTAL LLC
Location Address2715 W NORTHERN AVE STE 101Phoenix, AZ 85051-6641
Mailing Address2715 W Northern Ave Ste 101Phoenix, AZ 85051-6641 · (602) 864-5007
Phone(602) 864-5007
Organization SubpartNo
Authorized OfficialBrandt HansenDentist · (480) 622-8539
Enumeration DateFebruary 20, 2023
NPPES CertifiedFebruary 20, 2023
✔ NPI 1063110013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2715 W NORTHERN AVE STE 101, Phoenix, AZ 85051
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Other Providers at the Same Location NPPES

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

LINDA M. ZIMMERMAN D.D.S., P.C.
Clinic/Center (Dental)
2715 W NORTHERN AVE STE 101
PHOENIX, AZ 85051
Maricopa County (602) 864-5007

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 Phoenix Valley Dental LLC's NPI number?

The NPI number for Phoenix Valley Dental LLC is 1063110013. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Phoenix Valley Dental LLC located?

Phoenix Valley Dental LLC is located at 2715 W Northern Ave Ste 101, Phoenix, AZ 85051. The listed phone number is (602) 864-5007.

What is Phoenix Valley Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Phoenix Valley Dental LLC was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.