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

Canyon Modern Dentistry, LLP

Organization General Practice Dentistry · NPI 1194021170

Canyon Modern Dentistry, LLP is a General Practice Dentistry in Surprise, Arizona. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17081 W Greenway Rd Ste 121
Surprise, AZ 85388-9612
Phone: (623) 546-8400
Fax: (623) 214-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1194021170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mallory — Owner Doctor · (623) 546-8400
Other names Canyon Modern Dentistry
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011
Mailing address2860 Michelle Drive 2nd Floor, Irvine, CA 92606

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