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DESERT LILY DENTAL
NPI 1750974382
Clinic/Center - Dental in Phoenix, AZ

Active since February 15, 2021
12020 N 35TH AVE STE 2, PHOENIX, AZ 85029(435) 637-2100 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desert Lily Dental NPPES

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

DESERT LILY DENTAL (NPI 1750974382) is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Tiffany Bray, Manager, as its authorized official.

NPPES Registry Identity

NPI1750974382
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDESERT LILY DENTAL
Location Address12020 N 35TH AVE STE 2Phoenix, AZ 85029-3213
Mailing Address12020 N 35th Ave Ste 2Phoenix, AZ 85029-3213
Phone(435) 637-2100
Organization SubpartNo
Authorized OfficialTiffany BrayManager · (435) 637-2100
Enumeration DateFebruary 15, 2021
NPPES CertifiedFebruary 15, 2021
✔ NPI 1750974382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
12020 N 35TH AVE STE 2, Phoenix, AZ 85029
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Other Identifiers 1

Medicaid586868AZ

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 Desert Lily Dental's NPI number?

The NPI number for Desert Lily Dental is 1750974382. It was assigned to this organization in the NPPES registry on February 15, 2021.

Where is Desert Lily Dental located?

Desert Lily Dental is located at 12020 N 35th Ave Ste 2, Phoenix, AZ 85029. The listed phone number is (435) 637-2100.

What is Desert Lily Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Desert Lily Dental was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.