MILLENNIUM DENTAL ARTS
NPI 1124779004
Clinic/Center - Dental in Goodyear, AZ

Active since January 12, 2022
14940 W INDIAN SCHOOL RD STE 450, GOODYEAR, AZ 85395(623) 323-4728 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About MILLENNIUM DENTAL ARTS

This page provides the complete NPI Profile along with additional information for Millennium Dental Arts, a provider established in Goodyear, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1124779004 assigned on January 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Tera Niedens (Accountant)

NPI
1124779004 Verify this NPI
Provider Name
MILLENNIUM DENTAL ARTS
Entity Type
Organization
Location Address
14940 W INDIAN SCHOOL RD STE 450 GOODYEAR, AZ 85395
Location Phone
(623) 323-4728
Mailing Address
34225 N 27TH DR STE 241 PHOENIX, AZ 85085
Mailing Phone
(623) 289-2616
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2022
Last Update Date
01-12-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERA NIEDENS

Authorized Official Title
ACCOUNTANT
Authorized Official Phone
(623) 289-2616

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
14940 W INDIAN SCHOOL RD STE 450
GOODYEAR, AZ 85395

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124779004, enumerated as an "organization" on January 12, 2022.

The provider is located at 14940 W INDIAN SCHOOL RD STE 450 GOODYEAR, AZ 85395 and the phone number is (623) 323-4728.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.