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ALTA SKY DENTAL, LLC
NPI 1396146759
Dentist - General Practice in Glendale, AZ

Active since September 04, 2014
4303 W PEORIA AVE, SUITE 104, GLENDALE, AZ 85302(623) 374-3714 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alta Sky Dental, Llc NPPES

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

ALTA SKY DENTAL, LLC (NPI 1396146759) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since September 2014. The organization lists Jared Justice, Member, as its authorized official.

NPPES Registry Identity

NPI1396146759
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameALTA SKY DENTAL, LLC
Location Address4303 W PEORIA AVE, SUITE 104Glendale, AZ 85302-2005
Mailing Address4303 W Peoria Ave, Suite 104Glendale, AZ 85302-2005 · (623) 374-3714
Phone(623) 374-3714
Organization SubpartNo
Authorized OfficialJared JusticeMember · (858) 208-8451
Enumeration DateSeptember 4, 2014
✔ NPI 1396146759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4303 W PEORIA AVE, Glendale, AZ 85302
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc..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 Alta Sky Dental, LLC's NPI number?

The NPI number for Alta Sky Dental, LLC is 1396146759. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is Alta Sky Dental, LLC located?

Alta Sky Dental, LLC is located at 4303 W Peoria Ave Suite 104, Glendale, AZ 85302. The listed phone number is (623) 374-3714.

What is Alta Sky Dental, LLC's specialty?

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

What insurance does Alta Sky Dental, LLC accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Alta Sky Dental, 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 Alta Sky Dental, LLC was last updated on September 4, 2014. 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.