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

Black Canyon City Dentistry LLC

Organization Dentist · NPI 1639380363

Black Canyon City Dentistry LLC provides Dentist services in Black Canyon City, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

34501 S Old Black Canyon City Hwy Ste 5
Black Canyon City, AZ 85324
Phone: (623) 374-0855
Fax: (623) 374-0854
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 05797 (AZ)

Record details

NPI number1639380363
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eldon Jenkins — Owner · (623) 374-0855
NPI enumeratedMay 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box #7, Black Canyon City, AZ 85324