1. Home
  2. Directory
  3. Arizona
  4. Peoria
  5. Dentist
  6. NPI Profile

PLAZA FAMILY DENTAL INC
NPI 1669958781
Dentist in Peoria, AZ

Active since July 11, 2018
9145 W THUNDERBIRD RD STE H105, PEORIA, AZ 85381(623) 979-7477 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plaza Family Dental Inc NPPES

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

PLAZA FAMILY DENTAL INC (NPI 1669958781) is a healthcare organization registered as a dentist in Peoria, Arizona and active in the NPI registry since July 2018. The organization lists Tim J Wildung, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669958781
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePLAZA FAMILY DENTAL INC
Location Address9145 W THUNDERBIRD RD STE H105Peoria, AZ 85381-4820
Mailing Address7205 E Southern Ave Ste A-122Mesa, AZ 85209-2790 · (602) 391-4107
Phone(623) 979-7477
Organization SubpartNo
Authorized OfficialTim J WildungCeo · (602) 391-4107
Enumeration DateJuly 11, 2018
✔ NPI 1669958781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D009244
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
9145 W THUNDERBIRD RD STE H105, Peoria, AZ 85381
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc..Insurance ›

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 Plaza Family Dental Inc's NPI number?

The NPI number for Plaza Family Dental Inc is 1669958781. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Plaza Family Dental Inc located?

Plaza Family Dental Inc is located at 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381. The listed phone number is (623) 979-7477.

What is Plaza Family Dental Inc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Plaza Family Dental Inc accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Plaza Family Dental Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Plaza Family Dental Inc was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.