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

Family Dental Phoenix

Organization Dental Clinic/Center · NPI 1205445749

Family Dental Phoenix is a Dental Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

2401 W Glendale Ave Ste 102
Phoenix, AZ 85021-7621
Phone: (602) 864-1119
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1205445749
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marvin Jackson — Dds · (435) 637-2100
NPI enumeratedJuly 30, 2020
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020
Mailing address2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621

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