NEW IMAGE DENTISTRY PLLC
NPI 1417462664
Clinic/Center - Dental in Glendale, AZ

Active since December 11, 2017
17235 N 75TH AVE STE A100, GLENDALE, AZ 85308(623) 825-9445(623) 825-9446 Get Directions Write a Review

NPPES record last updated: December 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New Image Dentistry Pllc NPPES

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

NEW IMAGE DENTISTRY PLLC (NPI 1417462664) is a healthcare organization registered as a dental in Glendale, Arizona and active in the NPI registry since December 2017. The organization lists Raul Gomez, Owner/general Manager, as its authorized official.

NPPES Registry Identity

NPI1417462664
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNEW IMAGE DENTISTRY PLLC
Location Address17235 N 75TH AVE STE A100Glendale, AZ 85308-0884
Mailing Address17235 N 75th Ave Ste A100Glendale, AZ 85308-0884 · (623) 825-9445 · Fax (623) 825-9446
Fax(623) 825-9446
Organization SubpartNo
Authorized OfficialRaul GomezOwner/general Manager · (623) 825-9445
Enumeration DateDecember 11, 2017
NPI 1417462664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
17235 N 75TH AVE STE A100, Glendale, AZ 85308

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
17235 N 75TH AVE STE A100
GLENDALE, AZ 85308
Dentist (General Practice)
17235 N 75TH AVE STE A100
GLENDALE, AZ 85308
Dentist
17235 N 75TH AVE STE A100
GLENDALE, AZ 85308

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 New Image Dentistry PLLC's NPI number?

The NPI number for New Image Dentistry PLLC is 1417462664. It was assigned to this organization in the NPPES registry on December 11, 2017.

Where is New Image Dentistry PLLC located?

New Image Dentistry PLLC is located at 17235 N 75th Ave Ste A100, Glendale, AZ 85308. The listed phone number is (623) 825-9445.

What is New Image Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does New Image Dentistry PLLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list New Image Dentistry 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 New Image Dentistry PLLC was last updated on December 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.