STOMADENT, LLC
NPI 1538039961
Dentist - General Practice in Phoenix, AZ

Active since November 10, 2025
2330 N 75TH AVE STE 112, PHOENIX, AZ 85035(623) 849-0477 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stomadent, Llc NPPES

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

STOMADENT, LLC (NPI 1538039961) is a healthcare organization registered as a general practice in Phoenix, Arizona and active in the NPI registry since November 2025. The organization lists Thomas Simcox, Director, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1538039961
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTOMADENT, LLC
Location Address2330 N 75TH AVE STE 112Phoenix, AZ 85035-1221
Mailing Address2330 N 75th Ave Ste 112Phoenix, AZ 85035-1221 · (623) 849-0477
Organization SubpartNo
Authorized OfficialThomas SimcoxDirector, Revenue Cycle Management · (201) 400-1481
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1538039961 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.
2330 N 75TH AVE STE 112, Phoenix, AZ 85035

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

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 (General Practice)
2330 N 75TH AVE STE 112
PHOENIX, AZ 85035
Dentist (General Practice)
2330 N 75TH AVE STE 112
PHOENIX, AZ 85035
Dentist (General Practice)
2330 N 75TH AVE STE 112
PHOENIX, AZ 85035

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 Stomadent, LLC's NPI number?

The NPI number for Stomadent, LLC is 1538039961. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Stomadent, LLC located?

Stomadent, LLC is located at 2330 N 75th Ave Ste 112, Phoenix, AZ 85035. The listed phone number is (623) 849-0477.

What is Stomadent, LLC'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 Stomadent, LLC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.