SCOTTSDALE IMPLANT AND COSMETIC DENTISTRY
NPI 1134616378
Clinic/Center - Dental in Scottsdale, AZ

Q: What is Scottsdale Implant And Cosmetic Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 13, 2018

4910 E GREENWAY RD STE 7, SCOTTSDALE, AZ 85254(480) 200-3453 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, Apr 13, 2018 (2 updates tracked since 2018).

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About Scottsdale Implant And Cosmetic Dentistry NPPES

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

SCOTTSDALE IMPLANT AND COSMETIC DENTISTRY (NPI 1134616378) is a healthcare organization registered as a dental in Scottsdale, Arizona and active in the NPI registry since April 2018. The organization lists Portia L Fredstrup, Owner, as its authorized official.

NPPES Registry Identity

NPI1134616378

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSCOTTSDALE IMPLANT AND COSMETIC DENTISTRY LLC

Location Address4910 E GREENWAY RD STE 7Scottsdale, AZ 85254-1653

Mailing Address7547 S Frontier StGilbert, AZ 85298-0130

Phone(480) 200-3453

Organization SubpartYesParent: Valley Implant Centers Pllc

Authorized OfficialPortia L FredstrupOwner · (602) 303-5827

Enumeration DateApril 13, 2018

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1134616378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in AZ · D009808

4910 E GREENWAY RD STE 7, Scottsdale, AZ 85254

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Other Names 1

Doing Business AsScottsdale Implant And Cosmetic Dentistry

Other Identifiers 1

Other1457874901AZ · Provider Npi

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. CESAR MARTINEZ DMD

Dentist

4910 E GREENWAY RD STE 7
SCOTTSDALE, AZ 85254

Maricopa County (602) 992-3000

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 Scottsdale Implant And Cosmetic Dentistry LLC's NPI number?

The NPI number for Scottsdale Implant And Cosmetic Dentistry LLC is 1134616378. It was assigned to this organization in the NPPES registry on April 13, 2018. The provider is doing business as Scottsdale Implant And Cosmetic Dentistry.

Where is Scottsdale Implant And Cosmetic Dentistry LLC located?

Scottsdale Implant And Cosmetic Dentistry LLC is located at 4910 E Greenway Rd Ste 7, Scottsdale, AZ 85254. The listed phone number is (480) 200-3453.

What is Scottsdale Implant And Cosmetic Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Scottsdale Implant And Cosmetic Dentistry LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.