OrganizationActive
Phoenix Wisdom Teeth, LLC
NPI 1255945366 · Oral and Maxillofacial Surgery (Dentist) · Glendale, AZ
Provider details
- NPI number
- 1255945366
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Ryan Arnold, Managing Member(801) 406-8670
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 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
17037 N 43rd Ave # A4a
Glendale, AZ 85308-4026
Phone: (801) 406-8670
Street-level locationGet directions
Mailing address
5513 W 11000 N # 226
Highland, UT 84003-8012
Other names (DBA / former)
- Doing business as
- Wisdom Teeth Guys
Registry dates
- Enumerated
- 2020-09-04
- Last updated
- 2020-09-04
- Certified
- 2020-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.