OrganizationActive
Aesthetic Family Dentistry PC
NPI 1518105691 · General Practice Dentistry · Phoenix, AZ
Aesthetic Family Dentistry PC is a General Practice Dentistry organization in Phoenix, AZ (NPI 1518105691).
Provider details
- NPI number
- 1518105691
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Aesthetic Family Dentistry PC
- Organization subpart
- Yes
- Authorized official
- Russell Roderick, Doctor(480) 515-0404
- License
- 4906 (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
26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504
Phone: (480) 515-0404
Fax: (480) 515-2587
Street-level locationGet directions
Mailing address
26232 N Tatum Blvd Ste 400
Phoenix, AZ 85050-7504
Registry dates
- Enumerated
- 2009-01-28
- Last updated
- 2009-01-28
Frequently asked questions
- What is Aesthetic Family Dentistry PC's NPI number?
- Aesthetic Family Dentistry PC's National Provider Identifier (NPI) is 1518105691, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aesthetic Family Dentistry PC?
- Aesthetic Family Dentistry PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Aesthetic Family Dentistry PC located?
- Aesthetic Family Dentistry PC's practice location on file with NPPES is 26232 N Tatum Blvd Ste 400, Phoenix, AZ 85050-7504.
- What is Aesthetic Family Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Aesthetic Family Dentistry PC is (480) 515-0404.
- Who is the authorized official for Aesthetic Family Dentistry PC?
- The authorized official listed on Aesthetic Family Dentistry PC's NPPES record is Russell Roderick, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aesthetic Family Dentistry PC's NPI active?
- Yes — Aesthetic Family Dentistry PC's NPI (1518105691) is active in the NPPES registry as of the last update on 2009-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.