OrganizationActive
Maryland Avenue Periodontics, LLC
NPI 1053602953 · Periodontics · Phoenix, AZ
Maryland Avenue Periodontics, LLC is a Periodontics organization in Phoenix, AZ (NPI 1053602953).
Provider details
- NPI number
- 1053602953
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Jennifer Warner, Office Manager(602) 242-2588
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
6520 N 7th Ave Ste 5
Phoenix, AZ 85013-1158
Phone: (602) 242-2588
Fax: (602) 242-3137
Street-level locationGet directions
Mailing address
6520 N 7th Ave Ste 5
Phoenix, AZ 85013-1158
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2011-04-26
Frequently asked questions
- What is Maryland Avenue Periodontics, LLC's NPI number?
- Maryland Avenue Periodontics, LLC's National Provider Identifier (NPI) is 1053602953, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maryland Avenue Periodontics, LLC?
- Maryland Avenue Periodontics, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Maryland Avenue Periodontics, LLC located?
- Maryland Avenue Periodontics, LLC's practice location on file with NPPES is 6520 N 7th Ave Ste 5, Phoenix, AZ 85013-1158.
- What is Maryland Avenue Periodontics, LLC's phone number?
- The practice phone number listed in the NPPES registry for Maryland Avenue Periodontics, LLC is (602) 242-2588.
- Who is the authorized official for Maryland Avenue Periodontics, LLC?
- The authorized official listed on Maryland Avenue Periodontics, LLC's NPPES record is Jennifer Warner, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maryland Avenue Periodontics, LLC's NPI active?
- Yes — Maryland Avenue Periodontics, LLC's NPI (1053602953) is active in the NPPES registry as of the last update on 2011-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.