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

Desert Lake Family Dentistry Inc

Organization Dentist · NPI 1831301266

Desert Lake Family Dentistry Inc provides Dentist services in Avondale, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

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

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Practice location Address checks out

10750 W McDowell Rd #B200
Avondale, AZ 85323-5960
Phone: (623) 388-5888
Fax: (623) 388-5904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4772 (AZ)

Record details

NPI number1831301266
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adel Shayegan — President · 62338858888
NPI enumeratedMay 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10750 W McDowell Rd, B200, Avondale, AZ 85323-5960

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