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

Az Dental Specialty Group

Organization Dentist · NPI 1740532654

Az Dental Specialty Group is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

9035 N 43rd Ave Ste C
Phoenix, AZ 85051
Phone: (623) 435-2300
Fax: (623) 435-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence F000453 (AZ)
Periodontics Taxonomy 1223P0300X · Licence 8328 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2176 (AZ)

Record details

NPI number1740532654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Bassett — Owner · (623) 435-2300
NPI enumeratedOctober 3, 2012
Last updated in NPPESOctober 3, 2012
Mailing address9035 N 43rd Ave, Ste. C, Phoenix, AZ 85051

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