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

Arizona Periodontal Group PLLC

Organization Periodontics · NPI 1134338973

Arizona Periodontal Group PLLC is a Periodontics in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 W Northern Ave Ste 104
Phoenix, AZ 85021-5469
Phone: (602) 995-5045
Fax: (602) 995-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (AZ)

Record details

NPI number1134338973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariel Trujillo — Owner · (602) 995-5045
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 22, 2013
Mailing address1717 W Northern Ave, Ste 104, Phoenix, AZ 85021-5469

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