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

Canyon Trails Family Dental, LLC

Organization General Practice Dentistry · NPI 1104282425

Canyon Trails Family Dental, LLC provides General Practice Dentistry in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 N Estrella Pkwy Ste B-1
Goodyear, AZ 85338-4135 Not confirmed with CMS for 10 years — call before visiting
Phone: (623) 882-0782
Fax: (623) 882-0878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (AZ)

Record details

NPI number1104282425
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Ballard — Cfo, Cio · (480) 889-9457
NPI enumeratedJanuary 4, 2016
Last updated in NPPESJanuary 4, 2016
Mailing address4435 E Holmes Ave, Suite #200, Mesa, AZ 85206-3372

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