OrganizationActive
Family Dental Phoenix
NPI 1205445749 · Dental Clinic/Center · Phoenix, AZ
Family Dental Phoenix is a Dental Clinic/Center organization in Phoenix, AZ (NPI 1205445749).
Provider details
- NPI number
- 1205445749
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marvin Jackson, DDS(435) 637-2100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
2401 W Glendale Ave Ste 102
Phoenix, AZ 85021-7621
Phone: (602) 864-1119
Street-level locationGet directions
Mailing address
2401 W Glendale Ave Ste 102
Phoenix, AZ 85021-7621
Registry dates
- Enumerated
- 2020-07-30
- Last updated
- 2020-07-30
- Certified
- 2020-07-30
Frequently asked questions
- What is Family Dental Phoenix's NPI number?
- Family Dental Phoenix's National Provider Identifier (NPI) is 1205445749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Dental Phoenix?
- Family Dental Phoenix is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Family Dental Phoenix located?
- Family Dental Phoenix's practice location on file with NPPES is 2401 W Glendale Ave Ste 102, Phoenix, AZ 85021-7621.
- What is Family Dental Phoenix's phone number?
- The practice phone number listed in the NPPES registry for Family Dental Phoenix is (602) 864-1119.
- Who is the authorized official for Family Dental Phoenix?
- The authorized official listed on Family Dental Phoenix's NPPES record is Marvin Jackson, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Dental Phoenix's NPI active?
- Yes — Family Dental Phoenix's NPI (1205445749) is active in the NPPES registry as of the last update on 2020-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.