DENTISTS AT QUEEN CREEK, PLLC
NPI 1528605649
Dentist - General Practice in Queen Creek, AZ

Q: What is Dentists At Queen Creek, PLLC's NPI number?

The NPI number for Dentists At Queen Creek, PLLC is 1528605649. It was assigned to this organization in the NPPES registry on December 9, 2019. The provider was formerly known as Lydian Dental QC.

Q: What is Dentists At Queen Creek, PLLC's specialty?

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

Active since December 09, 2019

21295 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142(480) 445-9188(480) 526-8177 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dentists At Queen Creek, Pllc NPPES

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

DENTISTS AT QUEEN CREEK, PLLC (NPI 1528605649), doing business as Lydian Dental Qc, is a healthcare organization registered as a general practice in Queen Creek, Arizona and active in the NPI registry since December 2019. The organization lists Brittany Eddy, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1528605649

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTISTS AT QUEEN CREEK, PLLC

Location Address21295 S ELLSWORTH LOOP RDQueen Creek, AZ 85142-9866

Mailing Address1046 Westwood TrlOneida, NY 13421-4629 · (315) 761-9837

Phone(480) 445-9188

Fax(480) 526-8177

Organization SubpartNo

Authorized OfficialBrittany EddyCredentialing Manager · (713) 869-4535

Enumeration DateDecember 9, 2019

✔ NPI 1528605649 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.

21295 S ELLSWORTH LOOP RD, Queen Creek, AZ 85142

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Other Names 1

Former Legal Business NameLydian Dental Qc

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

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 Dentists At Queen Creek, PLLC's NPI number?

The NPI number for Dentists At Queen Creek, PLLC is 1528605649. It was assigned to this organization in the NPPES registry on December 9, 2019. The provider was formerly known as Lydian Dental QC.

Where is Dentists At Queen Creek, PLLC located?

Dentists At Queen Creek, PLLC is located at 21295 S Ellsworth Loop Rd, Queen Creek, AZ 85142. The listed phone number is (480) 445-9188.

What is Dentists At Queen Creek, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dentists At Queen Creek, PLLC was last updated on December 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.