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

Ks AZ-1, PC

Organization Endodontics · NPI 1588759161

Ks AZ-1, PC is an Endodontics in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3554 W Glendale Ave
Phoenix, AZ 85051-8358
Phone: (602) 233-5665
Fax: (602) 233-5666
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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
Endodontics Taxonomy 1223E0200X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1588759161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Mayfield — President · (770) 916-5028
Other names Kool Smiles
NPI enumeratedOctober 3, 2006
Last updated in NPPESDecember 17, 2014
Mailing address1090 Northchase Pkwy Se Ste 150, Marietta, GA 30067-6407

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