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FAIRWAY DENTAL AZ PLLC
NPI 1609730779
Clinic/Center - Dental in Litchfield Park, AZ

Active since December 12, 2025
250 VILLAGE PARKWAY, SUITE 203/204, LITCHFIELD PARK, AZ 85340(623) 428-1808(623) 428-0690 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 22, 2025, Dec 12, 2025 (2 updates tracked since 2025).

About Fairway Dental Az Pllc NPPES

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

FAIRWAY DENTAL AZ PLLC (NPI 1609730779) is a healthcare organization registered as a dental in Litchfield Park, Arizona and active in the NPI registry since December 2025. The organization lists Justin Ewell, Owner/denist, as its authorized official.

NPPES Registry Identity

NPI1609730779
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFAIRWAY DENTAL AZ PLLC
Location Address250 VILLAGE PARKWAY, SUITE 203/204Litchfield Park, AZ 85340
Mailing Address250 Village Parkway, Suite 205Litchfield Park, AZ 85340 · (623) 428-1808 · Fax (623) 428-0690
Phone(623) 428-1808
Fax(623) 428-0690
Organization SubpartNo
Authorized OfficialJustin EwellOwner/denist · (623) 428-1808
Enumeration DateDecember 12, 2025
Last NPPES UpdateDecember 22, 20252 updates tracked since enumeration
NPPES CertifiedDecember 22, 2025
✔ NPI 1609730779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
250 VILLAGE PARKWAY, Litchfield Park, AZ 85340
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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 Fairway Dental Az PLLC's NPI number?

The NPI number for Fairway Dental Az PLLC is 1609730779. It was assigned to this organization in the NPPES registry on December 12, 2025.

Where is Fairway Dental Az PLLC located?

Fairway Dental Az PLLC is located at 250 Village Parkway Suite 203/204, Litchfield Park, AZ 85340. The listed phone number is (623) 428-1808.

What is Fairway Dental Az PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Fairway Dental Az PLLC was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.