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

Organization Periodontics · NPI 1902252166

Biltmore Periodontics, PLLC is a Periodontics in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
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

1277 E Missouri Ave Ste 102
Phoenix, AZ 85014-2915
Phone: (602) 266-5896
Fax: (602) 274-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D008400 (AZ)

Record details

NPI number1902252166
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Wallin — Owner/Dentist · (602) 266-5896
NPI enumeratedMay 6, 2016
Last updated in NPPESMay 6, 2016
Mailing address1277 E Missouri Ave, Suite 102, Phoenix, AZ 85014-2915

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