# FOUR PEAKS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1528250693
- **Authorized official:** DR. ROBERT CLARK III DDS (DOCTOR)
- **Authorized official phone:** (480) 994-9485

## Contact information

- **Practice address:** 3666 N MILLER RD, 109, SCOTTSDALE, AZ 85251-4599
- **Practice address phone:** (480) 994-9485
- **Practice address fax:** (480) 481-3800
- **Mailing address:** 3666 N MILLER RD, 109, SCOTTSDALE, AZ 85251-4599
- **Mailing address phone:** (480) 994-9485
- **Mailing address fax:** (480) 481-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 5498 | AZ | — |
| 261QD0000X | Dental Clinic/Center | 6575 | AZ | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 08/13/2007