HERMOSA DENTAL AND ORTHODONTICS GROUP LLC
NPI 1306277918
Dentist - General Practice in Phoenix, AZ

Q: What is Hermosa Dental And Orthodontics Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since December 06, 2013

3415 W GLENDALE AVE, 30, PHOENIX, AZ 85051(602) 242-0550(602) 242-4965 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hermosa Dental And Orthodontics Group Llc NPPES

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

HERMOSA DENTAL AND ORTHODONTICS GROUP LLC (NPI 1306277918) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since December 2013. The organization lists Rasoul Salim, Owner, as its authorized official.

NPPES Registry Identity

NPI1306277918

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHERMOSA DENTAL AND ORTHODONTICS GROUP LLC

Location Address3415 W GLENDALE AVE, 30Phoenix, AZ 85051-8386

Mailing Address3415 W Glendale Ave, 30Phoenix, AZ 85051-8386 · (602) 242-0550 · Fax (602) 242-4965

Phone(602) 242-0550

Fax(602) 242-4965

Organization SubpartNo

Authorized OfficialRasoul SalimOwner · (602) 242-0550

Enumeration DateDecember 6, 2013

✔ NPI 1306277918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · D5067

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License D6876 (AZ)

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D8403 (AZ)

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X · License D8369 (AZ)

3415 W GLENDALE AVE, Phoenix, AZ 85051

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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 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 Hermosa Dental And Orthodontics Group LLC's NPI number?

The NPI number for Hermosa Dental And Orthodontics Group LLC is 1306277918. It was assigned to this organization in the NPPES registry on December 6, 2013.

Where is Hermosa Dental And Orthodontics Group LLC located?

Hermosa Dental And Orthodontics Group LLC is located at 3415 W Glendale Ave 30, Phoenix, AZ 85051. The listed phone number is (602) 242-0550.

What is Hermosa Dental And Orthodontics Group LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Hermosa Dental And Orthodontics Group LLC accept?

Health plans from Ambetter from Arizona Complete Health list Hermosa Dental And Orthodontics Group LLC 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 Hermosa Dental And Orthodontics Group LLC was last updated on December 6, 2013. 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.