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GRAND CANYON DENTAL, PLLC
NPI 1245666908
Dentist in Phoenix, AZ

Active since September 25, 2013
2610 W BASELINE RD STE 118, PHOENIX, AZ 85041(602) 323-4699(602) 323-4699 Get Directions Write a Review

NPPES record last updated: March 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Canyon Dental, Pllc NPPES

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

GRAND CANYON DENTAL, PLLC (NPI 1245666908) is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since September 2013. The organization lists Leo J Peplinskis Muktans, Owner, as its authorized official.

NPPES Registry Identity

NPI1245666908
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGRAND CANYON DENTAL, PLLC
Location Address2610 W BASELINE RD STE 118Phoenix, AZ 85041-6400
Mailing AddressPo Box 32067Phoenix, AZ 85064-2067 · (602) 323-4699
Phone(602) 323-4699
Fax(602) 323-4699
Organization SubpartNo
Authorized OfficialLeo J Peplinskis MuktansOwner · (602) 323-4699
Enumeration DateSeptember 25, 2013
Last NPPES UpdateMarch 11, 2015
✔ NPI 1245666908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
2610 W BASELINE RD STE 118, Phoenix, AZ 85041
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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 UnitedHealthcare.Insurance ›

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 Grand Canyon Dental, PLLC's NPI number?

The NPI number for Grand Canyon Dental, PLLC is 1245666908. It was assigned to this organization in the NPPES registry on September 25, 2013.

Where is Grand Canyon Dental, PLLC located?

Grand Canyon Dental, PLLC is located at 2610 W Baseline Rd Ste 118, Phoenix, AZ 85041. The listed phone number is (602) 323-4699.

What is Grand Canyon Dental, PLLC's specialty?

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

What insurance does Grand Canyon Dental, PLLC accept?

Health plans from UnitedHealthcare list Grand Canyon Dental, PLLC 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 Grand Canyon Dental, PLLC was last updated on March 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.