# BILTMORE PERIODONTICS, PLLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710481098
- **Authorized official:** PENNY SUE MCKINNEY (OFFICE MANAGER)
- **Authorized official phone:** (480) 218-7590

## Contact information

- **Practice address:** 1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
- **Practice address phone:** (480) 218-7590
- **Practice address fax:** (480) 218-2247
- **Mailing address:** 6755 E. SUPERSTITION SPRINGS BLVD, STE. 102, MESA, AZ 85206
- **Mailing address phone:** (480) 218-7590
- **Mailing address fax:** (480) 218-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7751 | AZ | Yes |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 03/21/2018