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PHOENIX WISDOM TEETH, LLC
NPI 1255945366
Dentist - Oral and Maxillofacial Surgery in Glendale, AZ

Active since September 04, 2020
17037 N 43RD AVE # A4A, GLENDALE, AZ 85308(801) 406-8670 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Wisdom Teeth, Llc NPPES

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

PHOENIX WISDOM TEETH, LLC (NPI 1255945366), doing business as Wisdom Teeth Guys, is a healthcare organization registered as an oral and maxillofacial surgery in Glendale, Arizona and active in the NPI registry since September 2020. The organization lists Ryan Arnold, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255945366
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePHOENIX WISDOM TEETH, LLC
Location Address17037 N 43RD AVE # A4AGlendale, AZ 85308-4026
Mailing Address5513 W 11000 N # 226Highland, UT 84003-8012
Phone(801) 406-8670
Organization SubpartNo
Authorized OfficialRyan ArnoldManaging Member · (801) 406-8670
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1255945366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
17037 N 43RD AVE # A4A, Glendale, AZ 85308
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Other Names 1

Doing Business AsWisdom Teeth Guys

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and more.Insurance ›

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 Wisdom Teeth, LLC's NPI number?

The NPI number for Phoenix Wisdom Teeth, LLC is 1255945366. It was assigned to this organization in the NPPES registry on September 4, 2020. The provider is doing business as Wisdom Teeth Guys.

Where is Phoenix Wisdom Teeth, LLC located?

Phoenix Wisdom Teeth, LLC is located at 17037 N 43rd Ave # A4a, Glendale, AZ 85308. The listed phone number is (801) 406-8670.

What is Phoenix Wisdom Teeth, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Phoenix Wisdom Teeth, LLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Phoenix Wisdom Teeth, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Wisdom Teeth, LLC was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.