ARIZONA DENTAL ANESTHESIA PLLC
NPI 1689025256
Dentist - Dentist Anesthesiologist in Peoria, AZ

Active since June 24, 2016
14100 N 83RD AVE STE 280, PEORIA, AZ 85381(602) 499-4044 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Arizona Dental Anesthesia Pllc NPPES

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

ARIZONA DENTAL ANESTHESIA PLLC (NPI 1689025256) is a healthcare organization registered as a dentist anesthesiologist in Peoria, Arizona and active in the NPI registry since June 2016. The organization lists Matthew Ryan Wall, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1689025256
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameARIZONA DENTAL ANESTHESIA PLLC
Location Address14100 N 83RD AVE STE 280Peoria, AZ 85381-5660
Mailing Address14100 N 83rd Ave Ste 280Peoria, AZ 85381-5660 · (602) 499-4044
Organization SubpartNo
Authorized OfficialMatthew Ryan WallManager/member · (602) 499-4044
Enumeration DateJune 24, 2016
✔ NPI 1689025256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in AZ · 7990
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
14100 N 83RD AVE STE 280, Peoria, AZ 85381

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
14100 N 83RD AVE STE 280
PEORIA, AZ 85381
Dentist (Dentist Anesthesiologist)
14100 N 83RD AVE STE 280
PEORIA, AZ 85381
Dentist (Dentist Anesthesiologist)
14100 N 83RD AVE STE 280
PEORIA, AZ 85381
Dentist (Dentist Anesthesiologist)
14100 N 83RD AVE STE 280
PEORIA, AZ 85381
Dentist (Dentist Anesthesiologist)
14100 N 83RD AVE STE 280
PEORIA, AZ 85381

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 Arizona Dental Anesthesia PLLC's NPI number?

The NPI number for Arizona Dental Anesthesia PLLC is 1689025256. It was assigned to this organization in the NPPES registry on June 24, 2016.

Where is Arizona Dental Anesthesia PLLC located?

Arizona Dental Anesthesia PLLC is located at 14100 N 83rd Ave Ste 280, Peoria, AZ 85381. The listed phone number is (602) 499-4044.

What is Arizona Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

What insurance does Arizona Dental Anesthesia PLLC accept?

Health plans from DentaQuest Insurance Company, Inc. list Arizona Dental Anesthesia PLLC 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 Arizona Dental Anesthesia PLLC was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.