PM DENTAL
NPI 1760958359
Clinic/Center - Dental in Maricopa, AZ

Active since October 22, 2018
20800 N JOHN WAYNE PKWY STE 105, MARICOPA, AZ 85139(520) 568-7880(520) 868-6794 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About PM DENTAL

This page provides the complete NPI Profile along with additional information for Pm Dental, a provider established in Maricopa, Arizona operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1760958359 assigned on October 2018. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Peter Manesh Dds (Owner)

NPI
1760958359 Verify this NPI
Provider Name
PM DENTAL
Entity Type
Organization
Location Address
20800 N JOHN WAYNE PKWY STE 105 MARICOPA, AZ 85139
Location Phone
(520) 568-7880
Location Fax
(520) 868-6794
Mailing Address
20800 N JOHN WAYNE PKWY STE 105 MARICOPA, AZ 85139
Mailing Phone
(520) 568-7880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-22-2018
Last Update Date
10-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PETER MANESH DDS

Authorized Official Title
OWNER
Authorized Official Phone
(520) 568-7880

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760958359, enumerated as an "organization" on October 22, 2018.

The provider is located at 20800 N JOHN WAYNE PKWY STE 105 MARICOPA, AZ 85139 and the phone number is (520) 568-7880.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.