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GLISTEN DENTAL LLC
NPI 1104553478
Dentist - General Practice in Gilbert, AZ

Active since August 05, 2022
4365 E PECOS RD STE 127, GILBERT, AZ 85295(480) 331-4955 Get Directions Write a Review

NPPES record last updated: June 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2024, Aug 5, 2022 (2 updates tracked since 2022).

About Glisten Dental Llc NPPES

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

GLISTEN DENTAL LLC (NPI 1104553478) is a healthcare organization registered as a general practice in Gilbert, Arizona and active in the NPI registry since August 2022. The organization lists Revan Dawood, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104553478
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGLISTEN DENTAL LLC
Location Address4365 E PECOS RD STE 127Gilbert, AZ 85295-8052
Mailing Address4365 E Pecos Rd Ste 127Gilbert, AZ 85295-8052 · (480) 331-4955
Phone(480) 331-4955
Organization SubpartNo
Authorized OfficialRevan DawoodDentist · (623) 262-4372
Enumeration DateAugust 5, 2022
Last NPPES UpdateJune 8, 20242 updates tracked since enumeration
NPPES CertifiedJune 8, 2024
✔ NPI 1104553478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X
4365 E PECOS RD STE 127, Gilbert, AZ 85295
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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

Accepted Insurance

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

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.

DR. REVAN DAWOOD DMD
Dentist
4365 E PECOS RD STE 127
GILBERT, AZ 85295
Maricopa County (480) 331-4955
KENNY HUNG TRAN DMD
Dentist (General Practice)
4365 E PECOS RD STE 127
GILBERT, AZ 85295
Maricopa County (480) 331-4955
DANICK ENTERPRISES LLC
Clinic/Center (Dental)
4365 E PECOS RD STE 127
GILBERT, AZ 85295
Maricopa County (480) 331-4955

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 Glisten Dental LLC's NPI number?

The NPI number for Glisten Dental LLC is 1104553478. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Glisten Dental LLC located?

Glisten Dental LLC is located at 4365 E Pecos Rd Ste 127, Gilbert, AZ 85295. The listed phone number is (480) 331-4955.

What is Glisten Dental LLC's specialty?

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

What insurance does Glisten Dental LLC accept?

Health plans from Ambetter from Arizona Complete Health, Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Glisten Dental 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 Glisten Dental LLC was last updated on June 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.