MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC – NPI #1245089952
Clinic/Center

MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1245089952 to MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC on May 15, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC below.

NPI Profile for
MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC

NPI Number
1245089952
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVALE CHILDREN'S DENTISTRY AND ORTHODONTICS PLLC
Other name(s)
All associated names:
Doing Business As (dba)
Maryvale Children's Dentistry
Doing Business As (dba)
Maryvale Children's Dentistry and Orthodontics
Primary location
4700 N 51ST AVE STE 3
PHOENIX, AZ 85031-1237
Phone: (480) 432-3363 Fax:
Mailing address
12945 S 176TH LN
GOODYEAR, AZ 85338-5786
Phone: (480) 432-3363 Fax:
Organization Subpart
No
Authorized Official
JESSE MCGUIRE
MEMBER
Phone: (480) 432-3363
Updated
Certification Date
May 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.