CORE FAMILY DENTAL
NPI 1689283814
Clinic/Center - Dental in Peoria, AZ

Active since July 23, 2020
13460 N 94TH DR STE K4, PEORIA, AZ 85381(232) 231-0366 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 28, 2020, Jul 23, 2020 (2 updates tracked since 2020).

About Core Family Dental NPPES

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

CORE FAMILY DENTAL (NPI 1689283814) is a healthcare organization registered as a dental in Peoria, Arizona and active in the NPI registry since July 2020. The organization lists Marvin Blane Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1689283814
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCORE FAMILY DENTAL
Location Address13460 N 94TH DR STE K4Peoria, AZ 85381-4249
Mailing Address13460 N 94th Dr Ste K4Peoria, AZ 85381-4249 · (232) 231-0366
Organization SubpartNo
Authorized OfficialMarvin Blane JacksonOwner · (435) 637-2100
Enumeration DateJuly 23, 2020
Last NPPES UpdateJuly 28, 20202 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
NPI 1689283814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13460 N 94TH DR STE K4, Peoria, AZ 85381

Other Identifiers 1

Medicaid586868AZ

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)
13460 N 94TH DR STE K4
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 Core Family Dental's NPI number?

The NPI number for Core Family Dental is 1689283814. It was assigned to this organization in the NPPES registry on July 23, 2020.

Where is Core Family Dental located?

Core Family Dental is located at 13460 N 94th Dr Ste K4, Peoria, AZ 85381. The listed phone number is (232) 231-0366.

What is Core Family Dental'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 Core Family Dental was last updated on July 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.