# GARRETT PERIODONTICS

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

## Provider details

- **NPI number:** 1508793233
- **Authorized official:** PHILLIP GARRETT (DENTIST)
- **Authorized official phone:** (361) 343-6273

## Contact information

- **Practice address:** 7505 W DEER VALLEY RD STE 130, PEORIA, AZ 85382-2107
- **Practice address phone:** (623) 572-7505
- **Mailing address:** 19733 E CATTLE DR, QUEEN CREEK, AZ 85142-3810
- **Mailing address phone:** (361) 343-6272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/06/2026
- **Last updated:** 05/06/2026
