# ARIZONA DENTAL PROFESSIONALS, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, PC
- **Other names:** Fountain Hills Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528259009
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, PC
- **Authorized official:** KENDRA WALKER (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (217) 540-8312

## Contact information

- **Practice address:** 16605 E PALISADES BLVD, SUITE 112, FOUNTAIN HILLS, AZ 85268-3716
- **Practice address phone:** (480) 837-2000
- **Practice address fax:** (480) 837-2078
- **Mailing address:** 16605 E PALISADES BLVD, SUITE 112, FOUNTAIN HILLS, AZ 85268-3716
- **Mailing address phone:** (480) 837-2000
- **Mailing address fax:** (480) 837-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6416 | AZ | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 11/18/2016