OrganizationActive
Phoenix Mountain Dentistry, LLC
NPI 1295850808 · Dentist · Phoenix, AZ
Phoenix Mountain Dentistry, LLC is a Dentist organization in Phoenix, AZ (NPI 1295850808).
Provider details
- NPI number
- 1295850808
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Fawne Pryor, Ar and Insurance Manager(602) 944-0073
- License
- D5983 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4155 N 108th Ave Ste 101
Phoenix, AZ 85037-5464
Phone: (623) 877-4044
Fax: (623) 877-0058
Street-level locationGet directions
Mailing address
2323 W Mescal St Ste 205
Phoenix, AZ 85029-4764
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Phoenix Mountain Dentistry, LLC's NPI number?
- Phoenix Mountain Dentistry, LLC's National Provider Identifier (NPI) is 1295850808, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Mountain Dentistry, LLC?
- Phoenix Mountain Dentistry, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Phoenix Mountain Dentistry, LLC located?
- Phoenix Mountain Dentistry, LLC's practice location on file with NPPES is 4155 N 108th Ave Ste 101, Phoenix, AZ 85037-5464.
- What is Phoenix Mountain Dentistry, LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Mountain Dentistry, LLC is (623) 877-4044.
- Who is the authorized official for Phoenix Mountain Dentistry, LLC?
- The authorized official listed on Phoenix Mountain Dentistry, LLC's NPPES record is Fawne Pryor, Ar and Insurance Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Mountain Dentistry, LLC's NPI active?
- Yes — Phoenix Mountain Dentistry, LLC's NPI (1295850808) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.