OrganizationActive
94th Drive, LLC
NPI 1174769590 · Dentist · Peoria, AZ
94th Drive, LLC is a Dentist organization in Peoria, AZ (NPI 1174769590).
Provider details
- NPI number
- 1174769590
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Fawne Pryor, Insurance Manager(623) 582-3902
- License
- D6772 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
13660 N 94th Dr
B-1
Peoria, AZ 85381-4836
Phone: (623) 977-2551
Fax: (623) 977-9515
Street-level locationGet directions
Mailing address
13660 N 94th Dr
Peoria, AZ 85381-4836
Other names (DBA / former)
- Doing business as
- Peoria Dentistry
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Frequently asked questions
- What is 94th Drive, LLC's NPI number?
- 94th Drive, LLC's National Provider Identifier (NPI) is 1174769590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 94th Drive, LLC?
- 94th Drive, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is 94th Drive, LLC located?
- 94th Drive, LLC's practice location on file with NPPES is 13660 N 94th Dr, Peoria, AZ 85381-4836.
- What is 94th Drive, LLC's phone number?
- The practice phone number listed in the NPPES registry for 94th Drive, LLC is (623) 977-2551.
- Who is the authorized official for 94th Drive, LLC?
- The authorized official listed on 94th Drive, LLC's NPPES record is Fawne Pryor, Insurance Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 94th Drive, LLC's NPI active?
- Yes — 94th Drive, LLC's NPI (1174769590) is active in the NPPES registry as of the last update on 2009-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.