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QUEEN CREEK IMPLANTS & PERIODONTICS
NPI 1639913692
Dentist - Periodontics in Queen Creek, AZ

Active since June 24, 2024
22363 E DOMINGO RD STE 103, QUEEN CREEK, AZ 85142(480) 247-6558(480) 275-2404 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Jun 24, 2024 (2 updates tracked since 2024).

About Queen Creek Implants & Periodontics NPPES

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

QUEEN CREEK IMPLANTS & PERIODONTICS (NPI 1639913692) is a healthcare organization registered as a periodontics in Queen Creek, Arizona and active in the NPI registry since June 2024. The organization lists Amy Benavidez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639913692
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameQUEEN CREEK IMPLANTS & PERIODONTICS
Location Address22363 E DOMINGO RD STE 103Queen Creek, AZ 85142-0353
Mailing Address22363 E Domingo Rd Ste 103Queen Creek, AZ 85142-0353 · (480) 247-6558 · Fax (480) 275-2404
Phone(480) 247-6558
Fax(480) 275-2404
Organization SubpartNo
Authorized OfficialAmy BenavidezOffice Manager · (480) 247-6558
Enumeration DateJune 24, 2024
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
✔ NPI 1639913692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

22363 E DOMINGO RD STE 103, Queen Creek, AZ 85142
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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 Queen Creek Implants & Periodontics's NPI number?

The NPI number for Queen Creek Implants & Periodontics is 1639913692. It was assigned to this organization in the NPPES registry on June 24, 2024.

Where is Queen Creek Implants & Periodontics located?

Queen Creek Implants & Periodontics is located at 22363 E Domingo Rd Ste 103, Queen Creek, AZ 85142. The listed phone number is (480) 247-6558.

What is Queen Creek Implants & Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Queen Creek Implants & Periodontics was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.