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

Southern Dental LLC

Organization Dentist · NPI 1952249195

Southern Dental LLC is a Dentist in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
6
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

3320 W Southern Ave Ste 111
Phoenix, AZ 85041-4307
Phone: (630) 699-3744
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Public Health Dentistry Taxonomy 1223D0001X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X

Record details

NPI number1952249195
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kendrick Holyoak — Owner · (630) 699-3744
NPI enumeratedMarch 21, 2026
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address3934 E Austin Dr, Gilbert, AZ 85296-0711

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