PEORIA DENTISTRY
NPI 1124858154
Dentist - General Practice in Peoria, AZ

Q: What is Peoria Dentistry's NPI number?

The NPI number for Peoria Dentistry is 1124858154. It was assigned to this organization in the NPPES registry on August 5, 2024.

Q: What is Peoria Dentistry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peoria Dentistry was last updated on August 5, 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.

Active since August 05, 2024

20470 N LAKE PLEASANT RD STE 105, PEORIA, AZ 85382(623) 825-7003(623) 825-0076 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Peoria Dentistry NPPES

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

PEORIA DENTISTRY (NPI 1124858154) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since August 2024. The organization lists Leticia L Rojas, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1124858154

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePEORIA DENTISTRY

Location Address20470 N LAKE PLEASANT RD STE 105Peoria, AZ 85382-9708

Mailing Address20470 N Lake Pleasant Rd Ste 105Peoria, AZ 85382-9708 · (623) 825-7003 · Fax (623) 825-0076

Phone(623) 825-7003

Fax(623) 825-0076

Organization SubpartYesParent: Brivadental Llc

Authorized OfficialLeticia L RojasRegional Manager · (480) 363-2145

Enumeration DateAugust 5, 2024

NPPES CertifiedAugust 5, 2024

✔ NPI 1124858154 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.

20470 N LAKE PLEASANT RD STE 105, Peoria, AZ 85382

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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

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 Peoria Dentistry's NPI number?

The NPI number for Peoria Dentistry is 1124858154. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Peoria Dentistry located?

Peoria Dentistry is located at 20470 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382. The listed phone number is (623) 825-7003.

What is Peoria Dentistry'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 Peoria Dentistry was last updated on August 5, 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.