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

Desert Lake Family Dentistry Inc

Organization Dentist · NPI 1831301266

Desert Lake Family Dentistry Inc is a Dentist in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

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

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Practice location Address checks out

10750 W McDowell Rd #B200
Avondale, AZ 85323-5960
Phone: (623) 388-5888
Fax: (623) 388-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4772 (AZ)

Record details

NPI number1831301266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adel Shayegan — President · 62338858888
NPI enumeratedMay 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10750 W McDowell Rd, B200, Avondale, AZ 85323-5960

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