# SOUTH MOUNTAIN DENTAL PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RISAS DENTAL AND BRACES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982469201
- **Authorized official:** DR. WHITNEY WRIGHT DDS (OFFICER)
- **Authorized official phone:** (480) 339-4800

## Contact information

- **Practice address:** 6034 S 16TH ST, PHOENIX, AZ 85042-4465
- **Practice address phone:** (302) 845-3333
- **Mailing address:** 3030 N CENTRAL AVE STE 1500, PHOENIX, AZ 85012-2750

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 03/19/2024
