Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Arizona Periodontal Group PLLC

Organization Periodontics · NPI 1134338973

Arizona Periodontal Group PLLC provides Periodontics 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 W Northern Ave Ste 104
Phoenix, AZ 85021-5469 Not confirmed with CMS for 13 years — call before visiting
Phone: (602) 995-5045
Fax: (602) 995-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X (AZ)

Record details

NPI number1134338973
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariel Trujillo — Owner · (602) 995-5045
NPI enumeratedMay 21, 2007
Last updated in NPPESFebruary 22, 2013
Mailing address1717 W Northern Ave, Ste 104, Phoenix, AZ 85021-5469

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