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IMAGINE DENTAL
NPI 1043623770
Dentist in Phoenix, AZ

Active since June 10, 2014
650 W MARYLAND AVE, 1-2, PHOENIX, AZ 85013(480) 633-9977 Get Directions Write a Review

NPPES record last updated: June 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imagine Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMAGINE DENTAL (NPI 1043623770) is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since June 2014. The organization lists Brian Lilien, Owner, as its authorized official.

NPPES Registry Identity

NPI1043623770
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameIMAGINE DENTAL
Location Address650 W MARYLAND AVE, 1-2Phoenix, AZ 85013-1399
Mailing Address650 W Maryland Ave, 1-2Phoenix, AZ 85013-1399
Phone(480) 633-9977
Organization SubpartYesParent: Dental Specialty Associates
Authorized OfficialBrian LilienOwner · (480) 633-9977
Enumeration DateJune 10, 2014
✔ NPI 1043623770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D07028
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
650 W MARYLAND AVE, Phoenix, AZ 85013
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYLAND GARDEN DENTAL
Clinic/Center (Dental)
650 W MARYLAND AVE, SUITE 2
PHOENIX, AZ 85013
Maricopa County (602) 249-1616
BELLA WOMEN'S CARE
Specialist
650 W MARYLAND AVE, SUITE1
PHOENIX, AZ 85013
Maricopa County (602) 240-2401
MANI TEHRANCHI M.D.
Obstetrics & Gynecology
650 W MARYLAND AVE, SUITE 1
PHOENIX, AZ 85013
Maricopa County (602) 240-2401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imagine Dental's NPI number?

The NPI number for Imagine Dental is 1043623770. It was assigned to this organization in the NPPES registry on June 10, 2014.

Where is Imagine Dental located?

Imagine Dental is located at 650 W Maryland Ave 1-2, Phoenix, AZ 85013. The listed phone number is (480) 633-9977.

What is Imagine Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Imagine Dental was last updated on June 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.