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CANYON FAMILY DENTAL LLC
NPI 1982245676
Dentist - General Practice in Goodyear, AZ

Active since October 03, 2019
500 N ESTRELLA PKWY STE B1, GOODYEAR, AZ 85338(623) 880-0782 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canyon Family Dental Llc NPPES

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

CANYON FAMILY DENTAL LLC (NPI 1982245676) is a healthcare organization registered as a general practice in Goodyear, Arizona and active in the NPI registry since October 2019. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982245676
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCANYON FAMILY DENTAL LLC
Location Address500 N ESTRELLA PKWY STE B1Goodyear, AZ 85338-4136
Mailing Address500 N Estrella Pkwy Ste B1Goodyear, AZ 85338-4136 · (623) 880-0782
Phone(623) 880-0782
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateOctober 3, 2019
✔ NPI 1982245676 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.
500 N ESTRELLA PKWY STE B1, Goodyear, AZ 85338
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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 3

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

DR. HAMISH CARPENTER DDS
Dentist (General Practice)
500 N ESTRELLA PKWY STE B1
GOODYEAR, AZ 85338
Maricopa County (623) 882-0782
DR. NEHA PATEL DDS
Dentist
500 N ESTRELLA PKWY STE B1
GOODYEAR, AZ 85338
Maricopa County (623) 688-5408
MS. MONDANA NICOLE SHAMSAZAR DDS
Dentist
500 N ESTRELLA PKWY STE B1
GOODYEAR, AZ 85338
Maricopa County (623) 688-5408

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 Canyon Family Dental LLC's NPI number?

The NPI number for Canyon Family Dental LLC is 1982245676. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Canyon Family Dental LLC located?

Canyon Family Dental LLC is located at 500 N Estrella Pkwy Ste B1, Goodyear, AZ 85338. The listed phone number is (623) 880-0782.

What is Canyon Family Dental 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 Canyon Family Dental LLC was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.