# NOVELLY FAMILY DENTISTRY & ORTHODONTICS LLC

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

## Provider details

- **NPI number:** 1912565177
- **Authorized official:** DANA SEXTON (GENERAL MANAGER)
- **Authorized official phone:** (480) 892-6868

## Contact information

- **Practice address:** 2171 E PECOS RD STE 1, CHANDLER, AZ 85225-6139
- **Practice address phone:** (480) 892-6868
- **Mailing address:** 4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2019
- **Last updated:** 12/22/2020