AGE DEFYING DENTISTRY, PHOENIX
NPI 1174810840
Dentist in Phoenix, AZ

Active since July 01, 2011
4022 E GREENWAY RD, STE 13, PHOENIX, AZ 85032(602) 595-1115 Get Directions Write a Review

NPPES record last updated: August 2, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Age Defying Dentistry, Phoenix NPPES

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

AGE DEFYING DENTISTRY, PHOENIX (NPI 1174810840) is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since July 2011. The organization lists David J Velasco, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1174810840
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREENWAY 40 LLC
Location Address4022 E GREENWAY RD, STE 13Phoenix, AZ 85032-4797
Mailing Address4022 E Greenway Rd, Ste 13Phoenix, AZ 85032-4799 · (602) 595-1115
Organization SubpartNo
Authorized OfficialDavid J VelascoCo-owner · (602) 595-1115
Enumeration DateJuly 1, 2011
Last NPPES UpdateAugust 2, 2012
NPI 1174810840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in AZ · AZ3740 Licensed in AZ · AZ4044
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4022 E GREENWAY RD, Phoenix, AZ 85032

Other Names 1

Doing Business AsAge Defying Dentistry, Phoenix

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

Chiropractor
4022 E GREENWAY RD, SUITE 1
PHOENIX, AZ 85032
Physical Therapy Assistant
4022 E GREENWAY RD
PHOENIX, AZ 85032
Speech-Language Pathologist
4022 E GREENWAY RD, SUITE 11-122
PHOENIX, AZ 85032
Naturopath
4022 E GREENWAY RD
PHOENIX, AZ 85032
Dentist
4022 E GREENWAY RD, #13
PHOENIX, AZ 85032
Physical Therapist
4022 E GREENWAY RD, STE 1
PHOENIX, AZ 85032
Anesthesiology
4022 E GREENWAY RD, STE 2
PHOENIX, AZ 85032
Chiropractor (Rehabilitation)
4022 E GREENWAY RD, SUITE 1
PHOENIX, AZ 85032

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 Greenway 40 LLC's NPI number?

The NPI number for Greenway 40 LLC is 1174810840. It was assigned to this organization in the NPPES registry on July 1, 2011. The provider is doing business as Age Defying Dentistry, Phoenix.

Where is Greenway 40 LLC located?

Greenway 40 LLC is located at 4022 E Greenway Rd Ste 13, Phoenix, AZ 85032. The listed phone number is (602) 595-1115.

What is Greenway 40 LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Greenway 40 LLC was last updated on August 2, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.