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PARADISE RIDGE FAMILY DENTISTRY LLC
NPI 1841050267
Dentist - General Practice in Phoenix, AZ

Active since March 21, 2024
15433 N TATUM BLVD STE 200, PHOENIX, AZ 85032(602) 755-4691 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paradise Ridge Family Dentistry Llc NPPES

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

PARADISE RIDGE FAMILY DENTISTRY LLC (NPI 1841050267), doing business as Paradise Ridge Family Dentistry, is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since March 2024. The organization lists Rodney Clark Tilley, Owner/gm, as its authorized official.

NPPES Registry Identity

NPI1841050267
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARADISE RIDGE FAMILY DENTISTRY LLC
Location Address15433 N TATUM BLVD STE 200Phoenix, AZ 85032-4228
Mailing Address16627 S Lindsay RdGilbert, AZ 85295-1501 · (602) 695-4192
Phone(602) 755-4691
Organization SubpartNo
Authorized OfficialRodney Clark TilleyOwner/gm · (602) 695-4192
Enumeration DateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1841050267 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.
15433 N TATUM BLVD STE 200, Phoenix, AZ 85032
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Other Names 1

Doing Business AsParadise Ridge Family Dentistry

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

Other Providers at the Same Location NPPES 2

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

DR. ORIANA HADDAD DMD
Dentist (General Practice)
15433 N TATUM BLVD STE 200
PHOENIX, AZ 85032
Maricopa County (602) 867-8488
JESSE MCHALE DMD
Dentist (General Practice)
15433 N TATUM BLVD STE 200
PHOENIX, AZ 85032
Maricopa County (602) 313-3947

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 Paradise Ridge Family Dentistry LLC's NPI number?

The NPI number for Paradise Ridge Family Dentistry LLC is 1841050267. It was assigned to this organization in the NPPES registry on March 21, 2024. The provider is doing business as Paradise Ridge Family Dentistry.

Where is Paradise Ridge Family Dentistry LLC located?

Paradise Ridge Family Dentistry LLC is located at 15433 N Tatum Blvd Ste 200, Phoenix, AZ 85032. The listed phone number is (602) 755-4691.

What is Paradise Ridge Family Dentistry 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 Paradise Ridge Family Dentistry LLC was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.