NBA DENTAL GROUP, PC
NPI 1740468990
Dentist in Phoenix, AZ

Q: What is Nba Dental Group, PC's NPI number?

The NPI number for Nba Dental Group, PC is 1740468990. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is doing business as Wild West Children's Dentistry.

Q: What is Nba Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since February 08, 2008

4102 N 24TH ST STE B2, PHOENIX, AZ 85016(602) 956-2024(602) 956-2209 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Nba Dental Group, Pc NPPES

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

NBA DENTAL GROUP, PC (NPI 1740468990), doing business as Wild West Children's Dentistry, is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since February 2008. The organization maintains 2 additional practice locations and lists George Ayoub, Owner, as its authorized official.

NPPES Registry Identity

NPI1740468990

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameNBA DENTAL GROUP, PC

Location Address4102 N 24TH ST STE B2Phoenix, AZ 85016-6283

Mailing Address4102 N 24th St Ste B2Phoenix, AZ 85016-6283 · (602) 956-2024 · Fax (602) 956-2209

Phone(602) 956-2024

Fax(602) 956-2209

Organization SubpartNo

Authorized OfficialGeorge AyoubOwner · (602) 956-2024

Enumeration DateFebruary 8, 2008

Last NPPES UpdateMay 18, 2026

NPPES CertifiedMay 18, 2026

✔ NPI 1740468990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D5981

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4102 N 24TH ST STE B2, Phoenix, AZ 85016

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Other Names 1

Doing Business AsWild West Children's Dentistry

Secondary Practice Locations 2

Location 13048 E Baseline Rd Ste 106Mesa, AZ 85204-7287 · Phone (480) 813-3423

Location 29515 W Camelback Rd Ste 140Phoenix, AZ 85037-1364 · Phone (623) 872-2662

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, 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 Nba Dental Group, PC's NPI number?

The NPI number for Nba Dental Group, PC is 1740468990. It was assigned to this organization in the NPPES registry on February 8, 2008. The provider is doing business as Wild West Children's Dentistry.

Where is Nba Dental Group, PC located?

Nba Dental Group, PC is located at 4102 N 24th St Ste B2, Phoenix, AZ 85016. The listed phone number is (602) 956-2024.

What is Nba Dental Group, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nba Dental Group, PC accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Nba Dental Group, PC 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 Nba Dental Group, PC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.