Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

94th Drive, LLC

Organization Dentist · NPI 1174769590

94th Drive, LLC is a Dentist 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.

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Practice location Address checks out

13660 N 94th Dr B-1
Peoria, AZ 85381-4836
Phone: (623) 977-2551
Fax: (623) 977-9515
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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 number1174769590
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawne Pryor — Insurance Manager · (623) 582-3902
Other names Peoria Dentistry
NPI enumeratedJanuary 7, 2009
Last updated in NPPESJanuary 7, 2009
Mailing address13660 N 94th Dr, B-1, Peoria, AZ 85381-4836

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