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CANYON DENTAL
NPI 1447455670
Dentist - General Practice in Phoenix, AZ

Active since June 18, 2007
2837 W NORTHERN AVE, PHOENIX, AZ 85051(602) 995-2419 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Canyon Dental NPPES

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

CANYON DENTAL (NPI 1447455670) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since June 2007. The organization lists Julie Mcleod, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447455670
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMAIN STREET PRACTICE LLC
Location Address2837 W NORTHERN AVEPhoenix, AZ 85051-6646
Mailing Address11550 E Irvington RdTucson, AZ 85747-8925
Phone(602) 995-2419
Organization SubpartNo
Authorized OfficialJulie McleodCeo · (520) 290-6181
Enumeration DateJune 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447455670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2837 W NORTHERN AVE, Phoenix, AZ 85051
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Other Names 1

Doing Business AsCanyon 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 2

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

DR. JOSAHUA TRAN DDS
Dentist
2837 W NORTHERN AVE
PHOENIX, AZ 85051
Maricopa County (602) 995-2419
OFD13, LLC
Dentist (General Practice)
2837 W NORTHERN AVE
PHOENIX, AZ 85051
Maricopa County (602) 622-9653

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 Main Street Practice LLC's NPI number?

The NPI number for Main Street Practice LLC is 1447455670. It was assigned to this organization in the NPPES registry on June 18, 2007. The provider is doing business as Canyon Dental.

Where is Main Street Practice LLC located?

Main Street Practice LLC is located at 2837 W Northern Ave, Phoenix, AZ 85051. The listed phone number is (602) 995-2419.

What is Main Street Practice 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 Main Street Practice 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 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.