# JOHNSON RANCH FAMILY DENTISTRY

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427230770
- **Authorized official:** DR. SCOTT DEE WALLIN DDSM , PC (DENTIST)
- **Authorized official phone:** (480) 888-2271

## Contact information

- **Practice address:** 270 E HUNT HWY, BLDG. 3, SUITE 14, QUEEN CREEK, AZ 85243-4962
- **Practice address phone:** (480) 888-2271
- **Practice address fax:** (480) 888-7474
- **Mailing address:** 270 E HUNT HWY, BLDG. 3, SUITE 14, QUEEN CREEK, AZ 85243-4962
- **Mailing address phone:** (480) 888-2271
- **Mailing address fax:** (480) 888-7474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5868 | AZ | Yes |

## Other

- **Enumeration date:** 11/28/2007
- **Last updated:** 11/28/2007