ATD4 LLC
NPI 1619814605
Dentist - General Practice in San Tan Valley, AZ

Q: What is Atd4 LLC's NPI number?

The NPI number for Atd4 LLC is 1619814605. It was assigned to this organization in the NPPES registry on April 29, 2026.

Q: What is Atd4 LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Atd4 LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 29, 2026

35979 N GARY RD STE 104, SAN TAN VALLEY, AZ 85143(480) 914-2655 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Atd4 Llc NPPES

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

ATD4 LLC (NPI 1619814605) is a healthcare organization registered as a general practice in San Tan Valley, Arizona and active in the NPI registry since April 2026. The organization lists Lillie Bowers, Manager, as its authorized official.

NPPES Registry Identity

NPI1619814605

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameATD4 LLC

Location Address35979 N GARY RD STE 104San Tan Valley, AZ 85143-5750

Mailing Address35979 N Gary Rd Ste 104San Tan Valley, AZ 85143-5750 · (480) 914-2655

Phone(480) 914-2655

Organization SubpartNo

Authorized OfficialLillie BowersManager · (480) 914-2655

Enumeration DateApril 29, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1619814605 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.

35979 N GARY RD STE 104, San Tan Valley, AZ 85143

Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 2

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

MONICA YOUSSEF DMD

Dentist

35979 N GARY RD STE 104
SAN TAN VALLEY, AZ 85143

Pinal County (480) 845-0767

DR. ADAM BORGIA DDS

Dentist (General Practice)

35979 N GARY RD STE 104
SAN TAN VALLEY, AZ 85143

Pinal County (480) 854-0767

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 Atd4 LLC's NPI number?

The NPI number for Atd4 LLC is 1619814605. It was assigned to this organization in the NPPES registry on April 29, 2026.

Where is Atd4 LLC located?

Atd4 LLC is located at 35979 N Gary Rd Ste 104, San Tan Valley, AZ 85143. The listed phone number is (480) 914-2655.

What is Atd4 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 Atd4 LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.