OrganizationActive
Biltmore Periodontics, PLLC
NPI 1902252166 · Periodontics · Phoenix, AZ
Provider details
- NPI number
- 1902252166
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kurt Wallin, Owner/Dentist(602) 266-5896
- License
- D008400 (AZ)
Specialties & taxonomies
Dental Providers
Practice location
1277 E Missouri Ave
Suite 102
Phoenix, AZ 85014-2915
Phone: (602) 266-5896
Fax: (602) 274-6114
Approximate (ZIP-level) locationGet directions
Mailing address
1277 E Missouri Ave
Phoenix, AZ 85014-2915
Registry dates
- Enumerated
- 2016-05-06
- Last updated
- 2016-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.