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

Laveen Modern Dentistry

Organization Dentist · NPI 1154856177

Laveen Modern Dentistry is a Dentist in Laveen, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017

Practice location Address checks out

5045 W Baseline Rd Ste 135
Laveen, AZ 85339-7394
Phone: (602) 237-0613
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 9657 (AZ)

Record details

NPI number1154856177
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Girardi — Dentist · (209) 481-2544
NPI enumeratedApril 27, 2017
Last updated in NPPESApril 27, 2017
Mailing address3036 W Mohawk Ln, Phoenix, AZ 85027-3117

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