GLENDALE MODERN DENTISTRY
NPI 1255757308
Dentist in Glendale, AZ

Q: What is Glendale Modern Dentistry, LLP's NPI number?

The NPI number for Glendale Modern Dentistry, LLP is 1255757308. It was assigned to this organization in the NPPES registry on March 13, 2014. The provider is doing business as Glendale Modern Dentistry.

Q: What is Glendale Modern Dentistry, LLP's specialty?

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

Active since March 13, 2014

5143 WEST OLIVE AVE, SUITE 140, GLENDALE, AZ 85302(623) 939-2600(623) 939-2603 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glendale Modern Dentistry NPPES

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

GLENDALE MODERN DENTISTRY (NPI 1255757308) is a healthcare organization registered as a dentist in Glendale, Arizona and active in the NPI registry since March 2014. The organization lists Marissa Brown, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1255757308

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGLENDALE MODERN DENTISTRY, LLP

Location Address5143 WEST OLIVE AVE, SUITE 140Glendale, AZ 85302

Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495

Phone(623) 939-2600

Fax(623) 939-2603

Organization SubpartNo

Authorized OfficialMarissa BrownOwner Doctor · (623) 939-2600

Enumeration DateMarch 13, 2014

✔ NPI 1255757308 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.

5143 WEST OLIVE AVE, SUITE 140, Glendale, AZ 85302

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Other Names 1

Doing Business AsGlendale Modern Dentistry

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 Ambetter from Arizona Complete Health.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 Glendale Modern Dentistry, LLP's NPI number?

The NPI number for Glendale Modern Dentistry, LLP is 1255757308. It was assigned to this organization in the NPPES registry on March 13, 2014. The provider is doing business as Glendale Modern Dentistry.

Where is Glendale Modern Dentistry, LLP located?

Glendale Modern Dentistry, LLP is located at 5143 West Olive Ave, Suite 140, Glendale, AZ 85302. The listed phone number is (623) 939-2600.

What is Glendale Modern Dentistry, LLP's specialty?

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

What insurance does Glendale Modern Dentistry, LLP accept?

Health plans from Ambetter from Arizona Complete Health list Glendale Modern Dentistry, LLP 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 Glendale Modern Dentistry, LLP was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.