# SKYLINE DENTAL GROUP AND ORTHODONTICS, LLP

> 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
- **Other names:** Skyline Dental Group and Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811250301
- **Authorized official:** JONATHAN RICHTSTEIG (DMD/OWNER)
- **Authorized official phone:** (480) 882-3119

## Contact information

- **Practice address:** 1714 WEST HUNT HWY, SUITE 100, QUEEN CREEK, AZ 85243
- **Practice address phone:** (480) 882-3119
- **Practice address fax:** (480) 882-3129
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890
- **Mailing address fax:** (949) 474-1495

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 12/31/2013