MOUNTAIN PARK DENTISTRY L.L.C.
NPI 1457719114
Dentist - General Practice in Phoenix, AZ

Active since February 09, 2016
15215 S 48TH ST STE 175, PHOENIX, AZ 85044(480) 759-9300(480) 759-2130 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountain Park Dentistry L.l.c. NPPES

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

MOUNTAIN PARK DENTISTRY L.L.C. (NPI 1457719114) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since February 2016. The organization lists Randy Mow, Owner, as its authorized official.

NPPES Registry Identity

NPI1457719114
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMOUNTAIN PARK DENTISTRY L.L.C.
Location Address15215 S 48TH ST STE 175Phoenix, AZ 85044-9140
Mailing Address15215 S 48th St Ste 175Phoenix, AZ 85044-9140 · (480) 759-9300 · Fax (480) 759-2130
Fax(480) 759-2130
Organization SubpartNo
Authorized OfficialRandy MowOwner · (480) 759-9300
Enumeration DateFebruary 9, 2016
NPI 1457719114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
15215 S 48TH ST STE 175, Phoenix, AZ 85044

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist
15215 S 48TH ST STE 175
PHOENIX, AZ 85044
Dentist (General Practice)
15215 S 48TH ST STE 175
PHOENIX, AZ 85044

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 Mountain Park Dentistry L.L.C.'s NPI number?

The NPI number for Mountain Park Dentistry L.L.C. is 1457719114. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Mountain Park Dentistry L.L.C. located?

Mountain Park Dentistry L.L.C. is located at 15215 S 48th St Ste 175, Phoenix, AZ 85044. The listed phone number is (480) 759-9300.

What is Mountain Park Dentistry L.L.C.'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 Mountain Park Dentistry L.L.C. was last updated on February 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.