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PHOENIX MOUNTAIN DENTISTRY, LLC
NPI 1295850808
Dentist in Phoenix, AZ

Active since March 20, 2007
4155 N 108TH AVE STE 101, PHOENIX, AZ 85037(623) 877-4044(623) 877-0058 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Phoenix Mountain Dentistry, Llc NPPES

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

PHOENIX MOUNTAIN DENTISTRY, LLC (NPI 1295850808) is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since March 2007. The organization lists Fawne Pryor, Ar And Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1295850808
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePHOENIX MOUNTAIN DENTISTRY, LLC
Location Address4155 N 108TH AVE STE 101Phoenix, AZ 85037-5464
Mailing Address2323 W Mescal St Ste 205Phoenix, AZ 85029-4764 · (602) 944-0073 · Fax (602) 944-0371
Phone(623) 877-4044
Fax(623) 877-0058
Organization SubpartNo
Authorized OfficialFawne PryorAr And Insurance Manager · (602) 944-0073
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1295850808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D5983
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4155 N 108TH AVE STE 101, Phoenix, AZ 85037
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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

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 Mountain Dentistry, LLC's NPI number?

The NPI number for Phoenix Mountain Dentistry, LLC is 1295850808. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Phoenix Mountain Dentistry, LLC located?

Phoenix Mountain Dentistry, LLC is located at 4155 N 108th Ave Ste 101, Phoenix, AZ 85037. The listed phone number is (623) 877-4044.

What is Phoenix Mountain Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Phoenix Mountain Dentistry, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.