# DDL DENTAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Direct Dentures
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578743753
- **Authorized official:** AMANDA BISETTI (OWNER)
- **Authorized official phone:** (623) 875-7917

## Contact information

- **Practice address:** 15416 N 99TH AVE, SUN CITY, AZ 85351-1962
- **Practice address phone:** (623) 875-7917
- **Mailing address:** 15416 N 99TH AVE, SUN CITY, AZ 85351-1962
- **Mailing address phone:** (623) 875-7917

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 07/21/2022