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

Canyon Modern Dentistry & Orthodontics

Organization Dental Clinic/Center · NPI 1366848897

Canyon Modern Dentistry & Orthodontics is a Dental Clinic/Center in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014

Practice location Address checks out

17081 W Greenway Rd Ste 120
Surprise, AZ 85388-9612
Phone: (623) 546-8400
Fax: (623) 214-5830
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence D009075 (AZ)

Record details

NPI number1366848897
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Khakwani — General Dentist · (316) 727-6886
NPI enumeratedNovember 11, 2014
Last updated in NPPESNovember 11, 2014
Mailing address17081 W Greenway Rd, Suite 120, Surprise, AZ 85388-9612

Other providers in Surprise