ARIZONA PERIODONTAL GROUP PLLC
NPI 1134338973
Dentist - Periodontics in Phoenix, AZ

Active since May 21, 2007
1717 W NORTHERN AVE, STE 104, PHOENIX, AZ 85021(602) 995-5045(602) 995-3222 Get Directions Write a Review

NPPES record last updated: February 22, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Arizona Periodontal Group Pllc NPPES

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

ARIZONA PERIODONTAL GROUP PLLC (NPI 1134338973) is a healthcare organization registered as a periodontics in Phoenix, Arizona and active in the NPI registry since May 2007. The organization lists Ariel Trujillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1134338973
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameARIZONA PERIODONTAL GROUP PLLC
Location Address1717 W NORTHERN AVE, STE 104Phoenix, AZ 85021-5469
Mailing Address1717 W Northern Ave, Ste 104Phoenix, AZ 85021-5469 · (602) 995-5045 · Fax (602) 995-3222
Fax(602) 995-3222
Organization SubpartNo
Authorized OfficialAriel TrujilloOwner · (602) 995-5045
Enumeration DateMay 21, 2007
Last NPPES UpdateFebruary 22, 2013
✔ NPI 1134338973 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.
1717 W NORTHERN AVE, Phoenix, AZ 85021

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Occupational Therapist (Physical Rehabilitation)
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Residential Treatment Facility, Emotionally Disturbed Children
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Clinic/Center (Developmental Disabilities)
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Counselor (Addiction (Substance Use Disorder))
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Physical Therapist
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Speech-Language Pathologist
1717 W NORTHERN AVE
PHOENIX, AZ 85021
Dentist (General Practice)
1717 W NORTHERN AVE, SUITE 109
PHOENIX, AZ 85021
Dentist (Periodontics)
1717 W NORTHERN AVE, STE #104
PHOENIX, AZ 85021

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 Arizona Periodontal Group PLLC's NPI number?

The NPI number for Arizona Periodontal Group PLLC is 1134338973. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Arizona Periodontal Group PLLC located?

Arizona Periodontal Group PLLC is located at 1717 W Northern Ave Ste 104, Phoenix, AZ 85021. The listed phone number is (602) 995-5045.

What is Arizona Periodontal Group PLLC'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 Arizona Periodontal Group PLLC was last updated on February 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.