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General NPI Number Information
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NPI Number | 1003751025
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Entity Type | Organization
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Legal Business Name | AVONDALE DENTAL PARTNERS LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 10112 W MCDOWELL RD
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City | AVONDALE
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State | AZ
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Zip | 85392-4841
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Country | US
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Telephone | 480-900-6930
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Fax |
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Provider Business Mailing Address
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Address Line | 3030 N CENTRAL AVE SUITE 1500
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City | PHOENIX
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State | AZ
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Zip | 85012-2750
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Country | US
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Telephone | 480-900-6930
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WHITNEY B. WRIGHT
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Credential | DDS
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Telephone | 480-900-6930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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