Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WOW DENTAL AZ, PLLC
NPI 1740190917
Dentist - General Practice in Bullhead City, AZ

Active since September 10, 2026
3650 FRONTAGE RD, BULLHEAD CITY, AZ 86442(928) 704-0220 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Wow Dental Az, Pllc NPPES

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

WOW DENTAL AZ, PLLC (NPI 1740190917) is a healthcare organization registered as a general practice in Bullhead City, Arizona and active in the NPI registry since September 2026. The organization lists Marianne Tilton, Provider Enrollment Supervisor, as its authorized official.

NPPES Registry Identity

NPI1740190917
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWOW DENTAL AZ, PLLC
Location Address3650 FRONTAGE RDBullhead City, AZ 86442-8154
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Organization SubpartNo
Authorized OfficialMarianne TiltonProvider Enrollment Supervisor · (315) 454-6000
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1740190917 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.
3650 FRONTAGE RD, Bullhead City, AZ 86442

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

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
3650 FRONTAGE RD
BULLHEAD CITY, AZ 86442
Dentist (General Practice)
3650 FRONTAGE RD
BULLHEAD CITY, AZ 86442
Dentist
3650 FRONTAGE RD
BULLHEAD CITY, AZ 86442

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 Wow Dental Az, PLLC's NPI number?

The NPI number for Wow Dental Az, PLLC is 1740190917. It was assigned to this organization in the NPPES registry on September 10, 2026.

Where is Wow Dental Az, PLLC located?

Wow Dental Az, PLLC is located at 3650 Frontage Rd, Bullhead City, AZ 86442. The listed phone number is (928) 704-0220.

What is Wow Dental Az, PLLC'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 Wow Dental Az, PLLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.