PLAZA DENTAL
NPI 1275084501
Dentist - General Practice in Peoria, AZ

Active since October 21, 2016
9145 W THUNDERBIRD RD, SUITE H-105, PEORIA, AZ 85381(623) 979-7477 Get Directions Write a Review

NPPES record last updated: October 21, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Plaza Dental NPPES

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

PLAZA DENTAL (NPI 1275084501) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since October 2016. The organization lists Tim Wildung, Owner, as its authorized official.

NPPES Registry Identity

NPI1275084501
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHUNDERBIRD DENTAL MANAGEMENT LLC
Location Address9145 W THUNDERBIRD RD, SUITE H-105Peoria, AZ 85381-4820
Mailing Address9145 W Thunderbird Rd, Suite H-105Peoria, AZ 85381-4820 · (623) 979-7477
Organization SubpartNo
Authorized OfficialTim WildungOwner · (480) 634-4803
Enumeration DateOctober 21, 2016
NPI 1275084501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D009244
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9145 W THUNDERBIRD RD, Peoria, AZ 85381

Other Names 1

Doing Business AsPlaza Dental

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

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

Clinic/Center (Dental)
9145 W THUNDERBIRD RD, H-105
PEORIA, AZ 85381

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 Thunderbird Dental Management LLC's NPI number?

The NPI number for Thunderbird Dental Management LLC is 1275084501. It was assigned to this organization in the NPPES registry on October 21, 2016. The provider is doing business as Plaza Dental.

Where is Thunderbird Dental Management LLC located?

Thunderbird Dental Management LLC is located at 9145 W Thunderbird Rd Suite H-105, Peoria, AZ 85381. The listed phone number is (623) 979-7477.

What is Thunderbird Dental Management LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Thunderbird Dental Management LLC was last updated on October 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.