PRIMARY FAMILY DENTIST,LLC
NPI 1669687240
Dentist - General Practice in Phoenix, AZ

Active since May 14, 2007
2902 W CAMELBACK RD, PHOENIX, AZ 85017(602) 249-3301(602) 249-1117 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primary Family Dentist,llc NPPES

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

PRIMARY FAMILY DENTIST,LLC (NPI 1669687240) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since May 2007. The organization lists Marcos Gondales, Owner, as its authorized official.

NPPES Registry Identity

NPI1669687240
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIMARY FAMILY DENTIST,LLC
Location Address2902 W CAMELBACK RDPhoenix, AZ 85017-3301
Mailing Address2902 W Camelback RdPhoenix, AZ 85017-3301 · (602) 249-3301 · Fax (602) 249-1117
Fax(602) 249-1117
Organization SubpartNo
Authorized OfficialMarcos GondalesOwner · (602) 249-3301
Enumeration DateMay 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1669687240 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.
2902 W CAMELBACK RD, Phoenix, AZ 85017

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

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 Primary Family Dentist,llc's NPI number?

The NPI number for Primary Family Dentist,llc is 1669687240. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Primary Family Dentist,llc located?

Primary Family Dentist,llc is located at 2902 W Camelback Rd, Phoenix, AZ 85017. The listed phone number is (602) 249-3301.

What is Primary Family Dentist,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 Primary Family Dentist,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.