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

Black Canyon City Dentistry LLC

Organization Dentist · NPI 1639380363

Black Canyon City Dentistry LLC is a Dentist in Black Canyon City, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

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

See every abbreviation used in this directory →

Practice location Address checks out

34501 S Old Black Canyon City Hwy Ste 5
Black Canyon City, AZ 85324
Phone: (623) 374-0855
Fax: (623) 374-0854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 05797 (AZ)

Record details

NPI number1639380363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eldon Jenkins — Owner · (623) 374-0855
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box #7, Black Canyon City, AZ 85324