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

Hermosa Dental and Orthodontics Group LLC

Organization General Practice Dentistry · NPI 1306277918

Hermosa Dental and Orthodontics Group LLC is a General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
Specialties on file
4
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

3415 W Glendale Ave 30
Phoenix, AZ 85051-8386
Phone: (602) 242-0550
Fax: (602) 242-4965
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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 D5067 (AZ)
Periodontics Taxonomy 1223P0300X · Licence D6876 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D8403 (AZ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence D8369 (AZ)

Record details

NPI number1306277918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rasoul Salim — Owner · (602) 242-0550
NPI enumeratedDecember 6, 2013
Last updated in NPPESDecember 6, 2013
Mailing address3415 W Glendale Ave, 30, Phoenix, AZ 85051-8386

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