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

Az Dental Specialty Group

Organization Dentist · NPI 1740532654

Az Dental Specialty Group provides Dentist services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
Specialties on file
3
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Practice location Address checks out

9035 N 43rd Ave Ste C
Phoenix, AZ 85051 Not confirmed with CMS for 14 years — call before visiting
Phone: (623) 435-2300
Fax: (623) 435-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence F000453 (AZ)
Periodontics Taxonomy 1223P0300X · Licence 8328 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2176 (AZ)

Record details

NPI number1740532654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Bassett — Owner · (623) 435-2300
NPI enumeratedOctober 3, 2012
Last updated in NPPESOctober 3, 2012
Mailing address9035 N 43rd Ave, Ste. C, Phoenix, AZ 85051

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