DENTISTRY AT MARICOPA, LLC
NPI 1578020988
Dentist - General Practice in Maricopa, AZ

Active since February 22, 2019
20046 N. JOHN WAYNE PKWY, STE 105, MARICOPA, AZ 85139(520) 316-6100 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dentistry At Maricopa, Llc NPPES

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

DENTISTRY AT MARICOPA, LLC (NPI 1578020988) is a healthcare organization registered as a general practice in Maricopa, Arizona and active in the NPI registry since February 2019. The organization lists Becky Onda, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1578020988
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTISTRY AT MARICOPA, LLC
Location Address20046 N. JOHN WAYNE PKWY, STE 105Maricopa, AZ 85139
Mailing Address4435 E Holmes Ave Ste 200Mesa, AZ 85206-3314 · (480) 889-9457 · Fax (602) 726-2605
Organization SubpartNo
Authorized OfficialBecky OndaDirector Of Credentialing · (480) 889-9457
Enumeration DateFebruary 22, 2019
NPI 1578020988 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.
20046 N. JOHN WAYNE PKWY, Maricopa, AZ 85139

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.

Dentist (General Practice)
20046 N. JOHN WAYNE PKWY, SUITE 105
MARICOPA, AZ 85139

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 Dentistry At Maricopa, LLC's NPI number?

The NPI number for Dentistry At Maricopa, LLC is 1578020988. It was assigned to this organization in the NPPES registry on February 22, 2019.

Where is Dentistry At Maricopa, LLC located?

Dentistry At Maricopa, LLC is located at 20046 N. John Wayne Pkwy Ste 105, Maricopa, AZ 85139. The listed phone number is (520) 316-6100.

What is Dentistry At Maricopa, 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 Dentistry At Maricopa, LLC was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.