FAMILY TOOTH DOCTOR LL, LLC
NPI 1487792594
Dentist - General Practice in Mesa, AZ

Active since February 01, 2007
4435 E BROADWAY RD, SUITE 9, MESA, AZ 85206(480) 223-0255(480) 654-0705 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Family Tooth Doctor Ll, Llc NPPES

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

FAMILY TOOTH DOCTOR LL, LLC (NPI 1487792594) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since February 2007. The organization lists James Frank King, Owner, as its authorized official.

NPPES Registry Identity

NPI1487792594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY TOOTH DOCTOR LL, LLC
Location Address4435 E BROADWAY RD, SUITE 9Mesa, AZ 85206-2012
Mailing Address4435 E Broadway Rd, Suite 9Mesa, AZ 85206-2012 · (480) 223-0255 · Fax (480) 654-0705
Fax(480) 654-0705
Organization SubpartNo
Authorized OfficialJames Frank KingOwner · (480) 223-0255
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 24, 2007
NPI 1487792594 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 · D4215
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.
4435 E BROADWAY RD, Mesa, AZ 85206

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 (Sleep Disorder Diagnostic)
4435 E BROADWAY RD, STE 2
MESA, AZ 85206

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 Family Tooth Doctor Ll, LLC's NPI number?

The NPI number for Family Tooth Doctor Ll, LLC is 1487792594. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Family Tooth Doctor Ll, LLC located?

Family Tooth Doctor Ll, LLC is located at 4435 E Broadway Rd Suite 9, Mesa, AZ 85206. The listed phone number is (480) 223-0255.

What is Family Tooth Doctor Ll, 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 Family Tooth Doctor Ll, LLC was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.