# CROWN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CROWN DENTAL
- **Other names:** Dazzle Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689863748
- **Legal business name:** CROWN DENTAL
- **Authorized official:** DR. MICHAEL B HILL DDS (SR DENTIST)
- **Authorized official phone:** (623) 551-7500

## Contact information

- **Practice address:** 42407 N VISION WAY, 101, ANTHEM, AZ 85086-1480
- **Practice address phone:** (623) 551-7500
- **Practice address fax:** (623) 551-2400
- **Mailing address:** 42407 N VISION WAY, 101, ANTHEM, AZ 85086-1480
- **Mailing address phone:** (623) 551-7500
- **Mailing address fax:** (623) 551-2400

## Taxonomy

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

## Other

- **Enumeration date:** 10/15/2007
- **Last updated:** 10/15/2007