94th Drive, LLC
94th Drive, LLC provides Dentist services in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2009.
- Licensed in
- AZ
- In the registry since
- 2009
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13660 N 94th Dr B-1Peoria, AZ 85381-4836 Not confirmed with CMS for 17 years — call before visiting
Phone: (623) 977-2551
Fax: (623) 977-9515
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D6772 (AZ) |
|---|
Record details
| NPI number | 1174769590 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Fawne Pryor — Insurance Manager · (623) 582-3902 |
| Other names | Peoria Dentistry |
| NPI enumerated | January 7, 2009 |
| Last updated in NPPES | January 7, 2009 |
| Mailing address | 13660 N 94th Dr, B-1, Peoria, AZ 85381-4836 |
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