Provider Demographics
NPI:1851475289
Name:ASSOCIATED ORTHODONTISTS LTD
Entity Type:Organization
Organization Name:ASSOCIATED ORTHODONTISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:DORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-978-5365
Mailing Address - Street 1:5750 W THUNDERBIRD RD
Mailing Address - Street 2:SUITE H800
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-4675
Mailing Address - Country:US
Mailing Address - Phone:602-978-2100
Mailing Address - Fax:602-978-0708
Practice Address - Street 1:5750 W THUNDERBIRD RD
Practice Address - Street 2:SUITE H800
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-4675
Practice Address - Country:US
Practice Address - Phone:602-978-2100
Practice Address - Fax:602-978-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30621223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty