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

Maryland Avenue Periodontics, LLC

Organization Periodontics · NPI 1053602953

Maryland Avenue Periodontics, LLC is a Periodontics in Phoenix, Arizona. Registered with an NPI since 2011.

In the registry since
2011
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

6520 N 7th Ave Ste 5
Phoenix, AZ 85013-1158
Phone: (602) 242-2588
Fax: (602) 242-3137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1053602953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Warner — Office Manager · (602) 242-2588
NPI enumeratedApril 26, 2011
Last updated in NPPESApril 26, 2011
Mailing address6520 N 7th Ave Ste 5, Phoenix, AZ 85013-1158

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