Healthcare Provider Details

I. General information

NPI: 1548081037
Provider Name (Legal Business Name): DMD DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7312 E DEER VALLEY RD STE 100
SCOTTSDALE AZ
85255-7452
US

IV. Provider business mailing address

9082 E CASITAS DEL RIO DR
SCOTTSDALE AZ
85255-8344
US

V. Phone/Fax

Practice location:
  • Phone: 480-573-0607
  • Fax:
Mailing address:
  • Phone: 504-400-4454
  • 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 Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIKA DU MOND
Title or Position: OWNER
Credential: DMD
Phone: 504-400-4454