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

Dental Specialists of NW Arizona

Organization Endodontics · NPI 1831554930

Dental Specialists of NW Arizona is an Endodontics in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2152 McCulloch Blvd N Ste C
Lake Havasu City, AZ 86403-6805
Phone: (928) 854-5551
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 8823 (AZ)
Endodontics Taxonomy 1223E0200X · Licence 8793 (AZ)

Record details

NPI number1831554930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Lavene — Endodontist · (928) 854-5551
NPI enumeratedDecember 16, 2015
Last updated in NPPESDecember 16, 2015
Mailing address2152 McCulloch Blvd N Ste C, Lake Havasu City, AZ 86403-6805

Other providers in Lake Havasu City