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PALI, LLC
NPI 1710438676
Dentist - General Practice in Glendale, AZ

Active since October 17, 2016
5511 W GLENDALE AVE, GLENDALE, AZ 85301(623) 937-9241 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pali, Llc NPPES

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

PALI, LLC (NPI 1710438676) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since October 2016. The organization lists Charisma Luat, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1710438676
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePALI, LLC
Location Address5511 W GLENDALE AVEGlendale, AZ 85301-2522
Mailing Address5511 W Glendale AveGlendale, AZ 85301-2522 · (623) 937-9241
Phone(623) 937-9241
Organization SubpartNo
Authorized OfficialCharisma LuatDentist/owner · (623) 937-9241
Enumeration DateOctober 17, 2016
Last NPPES UpdateMarch 15, 2024
✔ NPI 1710438676 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 · D008569
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.
5511 W GLENDALE AVE, Glendale, AZ 85301
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Other Identifiers 1

Medicaid120792AZ

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 Pali, LLC's NPI number?

The NPI number for Pali, LLC is 1710438676. It was assigned to this organization in the NPPES registry on October 17, 2016.

Where is Pali, LLC located?

Pali, LLC is located at 5511 W Glendale Ave, Glendale, AZ 85301. The listed phone number is (623) 937-9241.

What is Pali, 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 Pali, LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.