VISTANCIA DENTAL GROUP
NPI 1093989329
Dentist - General Practice in Peoria, AZ

Q: What is Vistancia Dental Group, Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 17, 2008

28451 NORTH VISTANCIA BLVD, SUITE 101, PEORIA, AZ 85383(623) 218-6638(623) 218-6937 Get Directions Write a Review

NPPES record last updated: April 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Vistancia Dental Group NPPES

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

VISTANCIA DENTAL GROUP (NPI 1093989329) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since April 2008. The organization lists Paul S Gebhart, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1093989329

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameVISTANCIA DENTAL GROUP, PROFESSIONAL CORPORATION

Location Address28451 NORTH VISTANCIA BLVD, SUITE 101Peoria, AZ 85383

Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 368-2077 · Fax (714) 368-2092

Phone(623) 218-6638

Fax(623) 218-6937

Organization SubpartNo

Authorized OfficialPaul S GebhartOwner Doctor · (623) 218-6638

Enumeration DateApril 17, 2008

✔ NPI 1093989329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

28451 NORTH VISTANCIA BLVD, Peoria, AZ 85383

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Other Names 1

Doing Business AsVistancia Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LEGACY SMILES, LLP

Dentist (General Practice)

28451 NORTH VISTANCIA BLVD, SUITE 101
PEORIA, AZ 85383

Maricopa County (623) 218-6638

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 Vistancia Dental Group, Professional Corporation's NPI number?

The NPI number for Vistancia Dental Group, Professional Corporation is 1093989329. It was assigned to this organization in the NPPES registry on April 17, 2008. The provider is doing business as Vistancia Dental Group.

Where is Vistancia Dental Group, Professional Corporation located?

Vistancia Dental Group, Professional Corporation is located at 28451 North Vistancia Blvd Suite 101, Peoria, AZ 85383. The listed phone number is (623) 218-6638.

What is Vistancia Dental Group, Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Vistancia Dental Group, Professional Corporation was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.