# GARRETT DENTAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bella Vista Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457735508
- **Authorized official:** DR. JEREMY GARRETT DMD (OWNER)
- **Authorized official phone:** (602) 268-8808

## Contact information

- **Practice address:** 432 E SOUTHERN AVE, \#1, PHOENIX, AZ 85040-9335
- **Practice address phone:** (602) 268-8808
- **Mailing address:** 432 E SOUTHERN AVE, \#1, PHOENIX, AZ 85040-9335
- **Mailing address phone:** (602) 268-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6959 | AZ | Yes |

## Other

- **Enumeration date:** 07/17/2015
- **Last updated:** 07/17/2015