OrganizationActive
Black Canyon City Dentistry LLC
NPI 1639380363 · Dentist · Black Canyon City, AZ
Black Canyon City Dentistry LLC is a Dentist organization in Black Canyon City, AZ (NPI 1639380363).
Provider details
- NPI number
- 1639380363
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Eldon Jenkins, Owner(623) 374-0855
- License
- 05797 (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
34501 S Old Black Canyon City Highway
Suite 5
Black Canyon City, AZ 85324
Phone: (623) 374-0855
Fax: (623) 374-0854
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box #7
Black Canyon City, AZ 85324
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Black Canyon City Dentistry LLC's NPI number?
- Black Canyon City Dentistry LLC's National Provider Identifier (NPI) is 1639380363, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Canyon City Dentistry LLC?
- Black Canyon City Dentistry LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Black Canyon City Dentistry LLC located?
- Black Canyon City Dentistry LLC's practice location on file with NPPES is 34501 S Old Black Canyon City Highway, Black Canyon City, AZ 85324.
- What is Black Canyon City Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Black Canyon City Dentistry LLC is (623) 374-0855.
- Who is the authorized official for Black Canyon City Dentistry LLC?
- The authorized official listed on Black Canyon City Dentistry LLC's NPPES record is Eldon Jenkins, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Canyon City Dentistry LLC's NPI active?
- Yes — Black Canyon City Dentistry LLC's NPI (1639380363) 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.