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

Hermosa Dental and Orthodontics Group LLC

Organization General Practice Dentistry · NPI 1306277918

Hermosa Dental and Orthodontics Group LLC provides General Practice Dentistry in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
Specialties on file
4
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

3415 W Glendale Ave 30
Phoenix, AZ 85051-8386 Not confirmed with CMS for 12 years — call before visiting
Phone: (602) 242-0550
Fax: (602) 242-4965
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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 · Licence D5067 (AZ)
Periodontics Taxonomy 1223P0300X · Licence D6876 (AZ)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D8403 (AZ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence D8369 (AZ)

Record details

NPI number1306277918
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rasoul Salim — Owner · (602) 242-0550
NPI enumeratedDecember 6, 2013
Last updated in NPPESDecember 6, 2013
Mailing address3415 W Glendale Ave, 30, Phoenix, AZ 85051-8386

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