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AZ COSMETIC & FAMILY DENTISTRY
NPI 1043645765
Clinic/Center in Peoria, AZ

Active since September 12, 2013
13695 N 75TH AVE, PEORIA, AZ 85381(602) 439-1101(602) 789-1653 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2020, Sep 14, 2020 (2 updates tracked since 2020).

About Az Cosmetic & Family Dentistry NPPES

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

AZ COSMETIC & FAMILY DENTISTRY (NPI 1043645765) is a healthcare organization registered as a clinic/center in Peoria, Arizona and active in the NPI registry since September 2013. The organization lists Vasudha Narra, Owner, as its authorized official.

NPPES Registry Identity

NPI1043645765
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRIVADENTAL LLC
Location Address13695 N 75TH AVEPeoria, AZ 85381-6098
Mailing Address13695 N 75th AvePeoria, AZ 85381-6098 · (602) 439-1101 · Fax (602) 789-1653
Phone(602) 439-1101
Fax(602) 789-1653
Organization SubpartNo
Authorized OfficialVasudha NarraOwner · (602) 439-1101
Enumeration DateSeptember 12, 2013
Last NPPES UpdateNovember 12, 20202 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1043645765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · D07658
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13695 N 75TH AVE, Peoria, AZ 85381
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Other Names 1

Doing Business AsAz Cosmetic & Family Dentistry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Solstice Healthplans of Arizona, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

DESIREE LOVETTE DMD
Dentist
13695 N 75TH AVE
PEORIA, AZ 85381
Maricopa County (602) 439-1101
MELISSA JARVIS DMD
Dentist
13695 N 75TH AVE
PEORIA, AZ 85381
Maricopa County (602) 439-1101

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 Brivadental LLC's NPI number?

The NPI number for Brivadental LLC is 1043645765. It was assigned to this organization in the NPPES registry on September 12, 2013. The provider is doing business as Az Cosmetic & Family Dentistry.

Where is Brivadental LLC located?

Brivadental LLC is located at 13695 N 75th Ave, Peoria, AZ 85381. The listed phone number is (602) 439-1101.

What is Brivadental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Brivadental LLC accept?

Health plans from Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Brivadental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brivadental LLC was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.