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

Phoenix Mountain Dentistry, LLC

Organization Dentist · NPI 1295850808

Phoenix Mountain Dentistry, LLC is a Dentist in Phoenix, 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

4155 N 108th Ave Ste 101
Phoenix, AZ 85037-5464
Phone: (623) 877-4044
Fax: (623) 877-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D5983 (AZ)

Record details

NPI number1295850808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fawne Pryor — Ar And Insurance Manager · (602) 944-0073
NPI enumeratedMarch 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2323 W Mescal St Ste 205, Phoenix, AZ 85029-4764

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