# COMPASS POINT DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHOENIX PEDIATRIC DENTAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1831588169
- **Legal business name:** PHOENIX PEDIATRIC DENTAL
- **Authorized official:** LUZ PACHECO (HUMAN RESOURCE)
- **Authorized official phone:** (602) 242-5741

## Contact information

- **Practice address:** 5400 W NORTHERN AVE, SUITE 202, GLENDALE, AZ 85301-1406
- **Practice address phone:** (623) 500-5790
- **Mailing address:** 6750 N 19TH AVE, PHOENIX, AZ 85015-1127
- **Mailing address phone:** (602) 242-5741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D4935 | AZ | Yes |

## Other

- **Enumeration date:** 01/09/2015
- **Last updated:** 02/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 450924 | — | AZ |