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

Family Tooth Doctor Ll, LLC

Organization General Practice Dentistry · NPI 1487792594

Family Tooth Doctor Ll, LLC is a General Practice Dentistry in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

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

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Practice location Address checks out

4435 E Broadway Rd Ste 9
Mesa, AZ 85206-2012
Phone: (480) 223-0255
Fax: (480) 654-0705
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D4215 (AZ)

Record details

NPI number1487792594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James King — Owner · (480) 223-0255
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 24, 2007
Mailing address4435 E Broadway Rd, Suite 9, Mesa, AZ 85206-2012

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