# PHOENIX WISDOM TEETH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisdom Teeth Guys
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255945366
- **Authorized official:** RYAN ARNOLD (MANAGING MEMBER)
- **Authorized official phone:** (801) 406-8670

## Contact information

- **Practice address:** 17037 N 43RD AVE \# A4A, GLENDALE, AZ 85308-4026
- **Practice address phone:** (801) 406-8670
- **Mailing address:** 5513 W 11000 N \# 226, HIGHLAND, UT 84003-8012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/04/2020
- **Last updated:** 09/04/2020