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

Aesthetic Family Dentistry PC

Organization General Practice Dentistry · NPI 1518105691

Aesthetic Family Dentistry PC is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504
Phone: (480) 515-0404
Fax: (480) 515-2587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4906 (AZ)

Record details

NPI number1518105691
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAesthetic Family Dentistry PC
Authorized official Russell Roderick — Doctor · (480) 515-0404
NPI enumeratedJanuary 28, 2009
Last updated in NPPESJanuary 28, 2009
Mailing address26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504

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