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

Desert Shores Dentistry, PLLC

Organization General Practice Dentistry · NPI 1376752808

Desert Shores Dentistry, PLLC is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16515 S 40th St Ste 101
Phoenix, AZ 85048-0558
Phone: (480) 759-2000
Fax: (480) 759-2058
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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 · Licence 5676 (AZ)

Record details

NPI number1376752808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Sandvik — Owner - Dentist · (480) 759-2000
NPI enumeratedMay 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address16515 S 40th St, Ste. 101, Phoenix, AZ 85048-0558

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