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WESTGATE PERIODONTICS, PLLC
NPI 1073960928
Dentist - Periodontics in Phoenix, AZ

Active since May 20, 2016
6535 W CAMELBACK RD, SUITE #1, PHOENIX, AZ 85033(623) 848-1901(623) 848-8778 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Westgate Periodontics, Pllc NPPES

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

WESTGATE PERIODONTICS, PLLC (NPI 1073960928) is a healthcare organization registered as a periodontics in Phoenix, Arizona and active in the NPI registry since May 2016. The organization lists Kurt D Wallin, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1073960928
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameWESTGATE PERIODONTICS, PLLC
Location Address6535 W CAMELBACK RD, SUITE #1Phoenix, AZ 85033-1608
Mailing Address6535 W Camelback Rd, Suite #1Phoenix, AZ 85033-1608 · (623) 848-1901 · Fax (623) 848-8778
Phone(623) 848-1901
Fax(623) 848-8778
Organization SubpartNo
Authorized OfficialKurt D WallinOwner/dentist · (623) 848-1901
Enumeration DateMay 20, 2016
✔ NPI 1073960928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in AZ · D008400
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.

6535 W CAMELBACK RD, Phoenix, AZ 85033
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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 4

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

MR. STEPHEN PATRICK HAYNES PHYSICAL THERAPIST
Physical Therapist
6535 W CAMELBACK RD, SUITE 6
PHOENIX, AZ 85033
Maricopa County (623) 873-4000
DR. STEVEN CHARLES ELCOCK DMD
Dentist (General Practice)
6535 W CAMELBACK RD, SUITE 4
PHOENIX, AZ 85033
Maricopa County (623) 848-1201
RELEFORD ORTHODONTIC CENTER, INC
Clinic/Center
6535 W CAMELBACK RD, SUITE 5
PHOENIX, AZ 85033
Maricopa County (623) 245-9753
FAMILY & COSMETIC DENTAL LLC
Dentist (General Practice)
6535 W CAMELBACK RD, SUITE 2
PHOENIX, AZ 85033
Maricopa County (623) 848-1881

Frequently Asked Questions

What is WESTGATE PERIODONTICS, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1073960928, enumerated as an "organization" on May 20, 2016.

Where is the provider located?

The provider is located at 6535 W CAMELBACK RD SUITE #1 PHOENIX, AZ 85033 and the phone number is (623) 848-1901.

What is the provider's specialty?

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.