OrganizationActive
Purely Dental Surgery LLC
NPI 1003479882 · Dentist · Phoenix, AZ
Purely Dental Surgery LLC is a Dentist organization in Phoenix, AZ (NPI 1003479882).
Provider details
- NPI number
- 1003479882
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Brent Woodmansee, Managing Partner(602) 799-2251
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12320 N 32nd St Ste 2
Phoenix, AZ 85032-7154
Phone: (602) 354-5356
Street-level locationGet directions
Mailing address
12320 N 32nd St Ste 2
Phoenix, AZ 85032-7154
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2019-04-17
Frequently asked questions
- What is Purely Dental Surgery LLC's NPI number?
- Purely Dental Surgery LLC's National Provider Identifier (NPI) is 1003479882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Purely Dental Surgery LLC?
- Purely Dental Surgery LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Purely Dental Surgery LLC located?
- Purely Dental Surgery LLC's practice location on file with NPPES is 12320 N 32nd St Ste 2, Phoenix, AZ 85032-7154.
- What is Purely Dental Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Purely Dental Surgery LLC is (602) 354-5356.
- Who is the authorized official for Purely Dental Surgery LLC?
- The authorized official listed on Purely Dental Surgery LLC's NPPES record is Brent Woodmansee, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Purely Dental Surgery LLC's NPI active?
- Yes — Purely Dental Surgery LLC's NPI (1003479882) is active in the NPPES registry as of the last update on 2019-04-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.