# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Gilmore Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558157115
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 3075 W DOVE VALLEY RD, STE 101, PHOENIX, AZ 85085-5224
- **Practice address phone:** (480) 847-1522
- **Practice address fax:** (480) 847-1539
- **Mailing address:** 3075 W DOVE VALLEY RD, STE 101, PHOENIX, AZ 85085-5224

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2025
- **Last updated:** 04/18/2025