Healthcare Provider Details

I. General information

NPI: 1003751025
Provider Name (Legal Business Name): AVONDALE DENTAL PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10112 W MCDOWELL RD
AVONDALE AZ
85392-4841
US

IV. Provider business mailing address

3030 N CENTRAL AVE SUITE 1500
PHOENIX AZ
85012-2750
US

V. Phone/Fax

Practice location:
  • Phone: 480-900-6930
  • Fax:
Mailing address:
  • Phone: 480-900-6930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: WHITNEY B. WRIGHT
Title or Position: MANAGER
Credential: DDS
Phone: 480-900-6930