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

Canyon Trails Family Dental, LLC

Organization General Practice Dentistry · NPI 1104282425

Canyon Trails Family Dental, LLC is a General Practice Dentistry in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 N Estrella Pkwy Ste B-1
Goodyear, AZ 85338-4135
Phone: (623) 882-0782
Fax: (623) 882-0878
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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 (AZ)

Record details

NPI number1104282425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ballard — Cfo, Cio · (480) 889-9457
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJanuary 4, 2016
Mailing address4435 E Holmes Ave, Suite #200, Mesa, AZ 85206-3372

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