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IDENTITY DENTAL SPECIALTIES
NPI 1275484495
Clinic/Center - Dental in Phoenix, AZ

Active since February 04, 2026
18325 N ALLIED WAY STE 115, PHOENIX, AZ 85054(480) 661-4867(480) 661-1266 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Identity Dental Specialties NPPES

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

IDENTITY DENTAL SPECIALTIES (NPI 1275484495) is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since February 2026. The organization lists Mariyana Pavlova, Ceo, President, as its authorized official.

NPPES Registry Identity

NPI1275484495
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameIDENTITY DENTAL SPECIALTIES
Location Address18325 N ALLIED WAY STE 115Phoenix, AZ 85054-3107
Mailing Address18325 N Allied Way Ste 115Phoenix, AZ 85054-3107 · (480) 661-4867 · Fax (480) 661-1266
Phone(480) 661-4867
Fax(480) 661-1266
Organization SubpartNo
Authorized OfficialMariyana PavlovaCeo, President · (480) 661-4867
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 4, 2026
✔ NPI 1275484495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
18325 N ALLIED WAY STE 115, Phoenix, AZ 85054
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Other Providers at the Same Location NPPES

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

JENNIFER HICKS DMD
Dentist (General Practice)
18325 N ALLIED WAY STE 115
PHOENIX, AZ 85054
Maricopa County (480) 661-4867

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 Identity Dental Specialties's NPI number?

The NPI number for Identity Dental Specialties is 1275484495. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Identity Dental Specialties located?

Identity Dental Specialties is located at 18325 N Allied Way Ste 115, Phoenix, AZ 85054. The listed phone number is (480) 661-4867.

What is Identity Dental Specialties'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 Identity Dental Specialties was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.