# THE DENTIST, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376601450
- **Authorized official:** MR. MATTHEW T FRKETLICH (OWNER)
- **Authorized official phone:** (602) 331-7001

## Contact information

- **Practice address:** 9838 N 19TH AVE, SUITE K, PHOENIX, AZ 85021-1936
- **Practice address phone:** (602) 331-7007
- **Practice address fax:** (602) 331-7001
- **Mailing address:** 9838 N 19TH AVE, SUITE K, PHOENIX, AZ 85021-1936
- **Mailing address phone:** (602) 331-7007
- **Mailing address fax:** (602) 331-7001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0987 | AZ | Yes |

## Other

- **Enumeration date:** 12/04/2006
- **Last updated:** 08/22/2020