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

Westgate Periodontics, PLLC

Organization Periodontics · NPI 1073960928

Westgate Periodontics, PLLC is a Periodontics in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6535 W Camelback Rd Ste #1
Phoenix, AZ 85033-1608
Phone: (623) 848-1901
Fax: (623) 848-8778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D008400 (AZ)

Record details

NPI number1073960928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Wallin — Owner/Dentist · (623) 848-1901
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address6535 W Camelback Rd, Suite #1, Phoenix, AZ 85033-1608

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