IndividualActive
Damon Duckworth
NPI 1205227618 · Pediatric Dentistry · Peoria, AZ
Provider details
- NPI number
- 1205227618
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 009961 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
31129 N 117th Dr
Peoria, AZ 85383-8282
Phone: (801) 842-6333
Approximate (ZIP-level) locationGet directions
Mailing address
31129 N 117th Dr
Peoria, AZ 85383-8282
Registry dates
- Enumerated
- 2015-02-08
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.