# NOELCK & MA FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1518836501
- **Authorized official:** FORREST JAMES NOELCK DDS (DENTIST)
- **Authorized official phone:** (623) 451-1084

## Contact information

- **Practice address:** 551 E PLAZA CIR, LITCHFIELD PARK, AZ 85340-4923
- **Practice address phone:** (623) 935-1155
- **Practice address fax:** (623) 935-0598
- **Mailing address:** 551 E PLAZA CIR, LITCHFIELD PARK, AZ 85340-4923
- **Mailing address phone:** (623) 935-1155
- **Mailing address fax:** (623) 935-0598

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2025
- **Last updated:** 10/30/2025