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DESERT SHORES DENTISTRY, PLLC
NPI 1376752808
Dentist - General Practice in Phoenix, AZ

Active since May 22, 2007
16515 S 40TH ST, STE. 101, PHOENIX, AZ 85048(480) 759-2000(480) 759-2058 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desert Shores Dentistry, Pllc NPPES

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

DESERT SHORES DENTISTRY, PLLC (NPI 1376752808) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since May 2007. The organization lists Bradley Joseph Sandvik, Owner - Dentist, as its authorized official.

NPPES Registry Identity

NPI1376752808
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDESERT SHORES DENTISTRY, PLLC
Location Address16515 S 40TH ST, STE. 101Phoenix, AZ 85048-0558
Mailing Address16515 S 40th St, Ste. 101Phoenix, AZ 85048-0558 · (480) 759-2000 · Fax (480) 759-2058
Phone(480) 759-2000
Fax(480) 759-2058
Organization SubpartNo
Authorized OfficialBradley Joseph SandvikOwner - Dentist · (480) 759-2000
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376752808 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 · 5676
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.
16515 S 40TH ST, Phoenix, AZ 85048
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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

Other Providers at the Same Location NPPES 20

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

ERIN CONWAY NP
Nurse Practitioner (Family)
16515 S 40TH ST
PHOENIX, AZ 85048
Maricopa County (480) 556-0446
ACTIVE LIFESTYLE CHIROPRACTIC
Chiropractor
16515 S 40TH ST, SUITE 129
PHOENIX, AZ 85048
Maricopa County (480) 704-1050
DR. MICHAEL DE RUBEIS O.D.
Optometrist
16515 S 40TH ST, SUITE 111
PHOENIX, AZ 85048
Maricopa County (480) 706-2020
DANIELLE NATHINA SEARS NP-C
Nurse Practitioner (Family)
16515 S 40TH ST, STE 143
PHOENIX, AZ 85048
Maricopa County (602) 615-0876
TLC FAMILY MEDICINE PC
Family Medicine
16515 S 40TH ST, SUITE 131
PHOENIX, AZ 85048
Maricopa County (480) 598-1357
MYA ANN SWAN RUEDA D.P.T.
Physical Therapist (Orthopedic)
16515 S 40TH ST, SUITE 133
PHOENIX, AZ 85048
Maricopa County (602) 206-8261
DR. SHARI RUTH WEBSTER D.C.
Chiropractor
16515 S 40TH ST, #139
PHOENIX, AZ 85048
Maricopa County (480) 785-1351
PATRICIA A DIETZGEN DO LLC
Clinic/Center (Primary Care)
16515 S 40TH ST, SUITE 103
PHOENIX, AZ 85048
Maricopa County (480) 961-0760

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 Desert Shores Dentistry, PLLC's NPI number?

The NPI number for Desert Shores Dentistry, PLLC is 1376752808. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Desert Shores Dentistry, PLLC located?

Desert Shores Dentistry, PLLC is located at 16515 S 40th St Ste. 101, Phoenix, AZ 85048. The listed phone number is (480) 759-2000.

What is Desert Shores Dentistry, PLLC'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 Desert Shores Dentistry, PLLC 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 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.