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

Wild West Orthodontics PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1649629361

Wild West Orthodontics PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Goodyear, Arizona. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14122 W McDowell Rd 200
Goodyear, AZ 85395-2503
Phone: (623) 535-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1649629361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ruiz — Regional Manager · (623) 536-2040
Other names Wild West Orthodontics
NPI enumeratedJune 3, 2016
Last updated in NPPESJune 6, 2016
Mailing address14122 W McDowell Rd, 200, Goodyear, AZ 85395-2503

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