# PRIDE DENTAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740484278
- **Authorized official:** DR. BRYAN J SHANAHAN D.D.S (DENTIST)
- **Authorized official phone:** (480) 946-0404

## Contact information

- **Practice address:** 3226 N MILLER RD STE 3, SCOTTSDALE, AZ 85251-6930
- **Practice address phone:** (480) 946-0404
- **Practice address fax:** (480) 946-0789
- **Mailing address:** 3226 N MILLER RD STE 3, SCOTTSDALE, AZ 85251-6930
- **Mailing address phone:** (480) 946-0404
- **Mailing address fax:** (480) 946-0789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0908190 | AZ | Yes |

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 08/22/2020