# FAMILY TOOTH DOCTOR LL, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487792594
- **Authorized official:** JAMES FRANK KING (OWNER)
- **Authorized official phone:** (480) 223-0255

## Contact information

- **Practice address:** 4435 E BROADWAY RD, SUITE 9, MESA, AZ 85206-2012
- **Practice address phone:** (480) 223-0255
- **Practice address fax:** (480) 654-0705
- **Mailing address:** 4435 E BROADWAY RD, SUITE 9, MESA, AZ 85206-2012
- **Mailing address phone:** (480) 223-0255
- **Mailing address fax:** (480) 654-0705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4215 | AZ | Yes |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 07/24/2007