# SUN CITY DENTAL ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gold Star Dental Station
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013559798
- **Authorized official:** FAITH GASKINS (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 13925 W MEEKER BLVD STE 2, SUN CITY WEST, AZ 85375-4431
- **Practice address phone:** (623) 537-5327
- **Practice address fax:** (623) 537-5329
- **Mailing address:** 13925 W MEEKER BLVD STE 2, SUN CITY WEST, AZ 85375-4431
- **Mailing address phone:** (623) 537-5327
- **Mailing address fax:** (623) 537-5329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2019
- **Last updated:** 02/21/2024