# JENKINS ARIZONA DENTAL PARTNERS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIGNATURE DENTAL PARTNERS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750986709
- **Legal business name:** SIGNATURE DENTAL PARTNERS LLC
- **Authorized official:** MELODY BENNION (SENIOR INTEGRATIONS SPECIALIST)
- **Authorized official phone:** (480) 234-8490

## Contact information

- **Practice address:** 18275 N 59TH AVE \# D-120, GLENDALE, AZ 85308-1260
- **Practice address phone:** (602) 973-7204
- **Practice address fax:** (602) 943-1534
- **Mailing address:** 410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
- **Mailing address phone:** (480) 234-8490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2020
- **Last updated:** 11/30/2020