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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

INNOVATIVE DENTAL GROUP, PLLC
NPI 1639677115
Dentist - General Practice in Tucson, AZ

Active since January 30, 2018
5209 N ORACLE RD, TUCSON, AZ 85704(520) 293-9277 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jul 22, 2026, Feb 20, 2020 and 1 more (4 updates tracked since 2020).

About Innovative Dental Group, Pllc NPPES

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

INNOVATIVE DENTAL GROUP, PLLC (NPI 1639677115), doing business as Advanced Family Dentistry, is a healthcare organization registered as a general practice in Tucson, Arizona and active in the NPI registry since January 2018. The organization lists Payam Kimiaei-asadi, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639677115
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINNOVATIVE DENTAL GROUP, PLLC
Location Address5209 N ORACLE RDTucson, AZ 85704-3707
Mailing Address5209 N Oracle RdTucson, AZ 85704-3707 · (520) 293-9277 · Fax (520) 293-3723
Phone(520) 293-9277
Organization SubpartNo
Authorized OfficialPayam Kimiaei-asadiDentist · (520) 293-9277
Enumeration DateJanuary 30, 2018
Last NPPES UpdateJuly 30, 20264 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
✔ NPI 1639677115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D008483
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.
5209 N ORACLE RD, Tucson, AZ 85704
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Other Names 1

Doing Business AsAdvanced Family Dentistry

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, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

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

PAYAM KIMIAEI-ASADI D.M.D
Dentist
5209 N ORACLE RD
TUCSON, AZ 85704
Pima County (520) 293-9277
LEDINGHAM DENTAL CORP., PA
Dentist (General Practice)
5209 N ORACLE RD
TUCSON, AZ 85704
Pima County (520) 293-9277
ARIZONA DENTAL PROFESSIONALS, P.C.
Dentist (General Practice)
5209 N ORACLE RD
TUCSON, AZ 85704
Pima County (520) 293-9277
DR. VANIA MARDIROSSIAN DMD
Dentist
5209 N ORACLE RD
TUCSON, AZ 85704
Pima County (520) 293-9277

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 Innovative Dental Group, PLLC's NPI number?

The NPI number for Innovative Dental Group, PLLC is 1639677115. It was assigned to this organization in the NPPES registry on January 30, 2018. The provider is doing business as Advanced Family Dentistry.

Where is Innovative Dental Group, PLLC located?

Innovative Dental Group, PLLC is located at 5209 N Oracle Rd, Tucson, AZ 85704. The listed phone number is (520) 293-9277.

What is Innovative Dental Group, PLLC's specialty?

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

What insurance does Innovative Dental Group, PLLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Innovative Dental Group, 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 Innovative Dental Group, PLLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.