# DENTAL ONE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DENTAL ONE PARTNERS, INC
- **Other names:** Desert Sunrise Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669559738
- **Legal business name:** DENTAL ONE PARTNERS, INC
- **Authorized official:** LAUREN HILL (DIRECTOR, RCM)
- **Authorized official phone:** (972) 930-7707

## Contact information

- **Practice address:** 8249 W THUNDERBIRD RD, SUITE 110, PEORIA, AZ 85381-4601
- **Practice address phone:** (623) 979-8800
- **Practice address fax:** (216) 584-1303
- **Mailing address:** PO BOX 860036, MINNEAPOLIS, MN 55486-0036
- **Mailing address phone:** (623) 979-8800
- **Mailing address fax:** (216) 584-1303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | NULL | — |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223P0300X | Periodontics | — | NULL | — |
| 1223P0300X | Periodontics | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | NULL | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 06/16/2022
