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STETSON VILLAGE DENTAL LLC
NPI 1104590728
Dentist - General Practice in Glendale, AZ

Active since August 06, 2021
3870 W HAPPY VALLEY RD STE 154, GLENDALE, AZ 85310(623) 533-4895 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stetson Village Dental Llc NPPES

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

STETSON VILLAGE DENTAL LLC (NPI 1104590728), doing business as Stetson Village Family Dental, is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since August 2021. The organization lists Faith Gaskin, Credentialing Directory, as its authorized official.

NPPES Registry Identity

NPI1104590728
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTETSON VILLAGE DENTAL LLC
Location Address3870 W HAPPY VALLEY RD STE 154Glendale, AZ 85310-3296
Mailing Address3870 W Happy Valley Rd Ste 154Glendale, AZ 85310-3296 · (623) 533-4895
Phone(623) 533-4895
Organization SubpartNo
Authorized OfficialFaith GaskinCredentialing Directory · (972) 869-3789
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
✔ NPI 1104590728 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.
3870 W HAPPY VALLEY RD STE 154, Glendale, AZ 85310
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Other Names 1

Doing Business AsStetson Village Family Dental

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 UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

DR. ANTHONY R BROCK D.M.D
Dentist (General Practice)
3870 W HAPPY VALLEY RD STE 154
GLENDALE, AZ 85310
Maricopa County (623) 533-4895

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 Stetson Village Dental LLC's NPI number?

The NPI number for Stetson Village Dental LLC is 1104590728. It was assigned to this organization in the NPPES registry on August 6, 2021. The provider is doing business as Stetson Village Family Dental.

Where is Stetson Village Dental LLC located?

Stetson Village Dental LLC is located at 3870 W Happy Valley Rd Ste 154, Glendale, AZ 85310. The listed phone number is (623) 533-4895.

What is Stetson Village Dental LLC's specialty?

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

What insurance does Stetson Village Dental LLC accept?

Health plans from UnitedHealthcare list Stetson Village 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 Stetson Village Dental LLC was last updated on August 6, 2021. 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.