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

El Mirage Dentistry

Organization Dentist · NPI 1760611552

El Mirage Dentistry is a Dentist in El Mirage, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009

Practice location Address checks out

10111 N El Mirage Rd
El Mirage, AZ 85335-3605
Phone: (623) 582-3909
Fax: (623) 582-3902
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7345 (AZ)

Record details

NPI number1760611552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawne Pryor — Ins Mgr · (623) 582-3909
Other names Classical Dentistry
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009
Mailing address10111 N El Mirage Rd, El Mirage, AZ 85335-3605

Other providers in El Mirage