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

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: July 19, 2026.

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
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

Other Names 1

Doing Business AsWild West Children's Dentistry

Secondary Practice Locations 2

Location 19515 W Camelback Rd Ste 140Phoenix, AZ 85037-1364 · Phone (623) 872-2662
Location 23048 E Baseline Rd Ste 106Mesa, AZ 85204-7287 · Phone (480) 813-3423

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

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 with the weekly NPPES data releases published by CMS.