# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Dental Care on Lone Mountain
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467249003
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 11749 W LONE MOUNTAIN PKWY UNIT 100, PEORIA, AZ 85383-6801
- **Practice address phone:** (623) 323-2320
- **Practice address fax:** (623) 323-2326
- **Mailing address:** 11749 W LONE MOUNTAIN PKWY UNIT 100, PEORIA, AZ 85383-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/24/2025