Healthcare Provider Details

I. General information

NPI: 1770408429
Provider Name (Legal Business Name): ARIZONA SEDATION AND FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20359 N 59TH AVE STE 101
GLENDALE AZ
85308-6857
US

IV. Provider business mailing address

7505 W DEER VALLEY RD STE 100
PEORIA AZ
85382-2107
US

V. Phone/Fax

Practice location:
  • Phone: 623-487-4870
  • Fax:
Mailing address:
  • Phone: 623-487-4870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CARSON STROYAN
Title or Position: OWNER
Credential: DMD
Phone: 623-487-4870