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NPI · 1104034909 · NPPES-sourced

Tatum Blvd Dentistry, LLC

ActiveDentist
NPI Number
1104034909
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(602) 977-1110
License AZ · D5926
Last Updated
Enumerated
Primary practice addressAZ · 85028-1607
11110 N Tatum Blvd, Suite 102Phoenix, AZ 85028-1607
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About this NPIWhat this record shows.

NPI 1104034909 is registered to Tatum Blvd Dentistry, LLC, a healthcare organisation classified as "Dentist" and located at 11110 N Tatum Blvd, Suite 102 in Phoenix, Arizona. The organisation's authorised official is Brad Wyatt. The organisation has been enumerated in the NPI registry since 2007.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tatum Blvd Dentistry, LLC accepts. To confirm in-network status with your specific health plan, contact Tatum Blvd Dentistry, LLC directly at (602) 977-1110.

Frequently asked

Yes. NPI 1104034909 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (602) 977-1110.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tatum Blvd Dentistry, LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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