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PACIFIC DENTAL SERVICES FOUNDATION
NPI 1659848208
Physician Assistant - Medical in Phoenix, AZ

Active since October 31, 2018
4559 E. BELL ROAD, STE 106, PHOENIX, AZ 85032(714) 845-8500(303) 952-0892 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Dental Services Foundation NPPES

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

PACIFIC DENTAL SERVICES FOUNDATION (NPI 1659848208) is a healthcare organization registered as a medical in Phoenix, Arizona and active in the NPI registry since October 2018. The organization lists Jack Dillenberg, Owner, as its authorized official.

NPPES Registry Identity

NPI1659848208
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NamePACIFIC DENTAL SERVICES FOUNDATION
Location Address4559 E. BELL ROAD, STE 106Phoenix, AZ 85032
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8500
Phone(714) 845-8500
Fax(303) 952-0892
Organization SubpartNo
Authorized OfficialJack DillenbergOwner · (714) 845-8500
Enumeration DateOctober 31, 2018
Last NPPES UpdateMarch 28, 2019
✔ NPI 1659848208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
4559 E. BELL ROAD, STE 106, Phoenix, AZ 85032
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc..Insurance ›

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 Pacific Dental Services Foundation's NPI number?

The NPI number for Pacific Dental Services Foundation is 1659848208. It was assigned to this organization in the NPPES registry on October 31, 2018.

Where is Pacific Dental Services Foundation located?

Pacific Dental Services Foundation is located at 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032. The listed phone number is (714) 845-8500.

What is Pacific Dental Services Foundation's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Pacific Dental Services Foundation accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Pacific Dental Services Foundation 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 Pacific Dental Services Foundation was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.