# SIGNATURE ARIZONA DENTAL PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIGNATURE DENTAL PARTNERS LLC
- **Other names:** Family Dentistry of Buckeye
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104395094
- **Legal business name:** SIGNATURE DENTAL PARTNERS LLC
- **Authorized official:** MELODY BENNION (DIRECTOR OF INTEGRATIONS)
- **Authorized official phone:** (480) 234-8490

## Contact information

- **Practice address:** 2525 S RURAL RD STE 2S, TEMPE, AZ 85282-2400
- **Practice address phone:** (480) 967-5788
- **Mailing address:** 410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
- **Mailing address phone:** (480) 626-4154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2018
- **Last updated:** 12/16/2022