Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GLISTEN DENTAL GLENDALE
NPI 1811789340
Dentist in Glendale, AZ

Q: What is Glisten Dental Glendale's NPI number?

The NPI number for Glisten Dental Glendale is 1811789340. It was assigned to this organization in the NPPES registry on May 20, 2025.

Q: What is Glisten Dental Glendale's specialty?

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

Active since May 20, 2025

4901 W BELL RD STE 140, GLENDALE, AZ 85308(602) 671-0303 Get Directions Write a Review

NPPES record last updated: September 13, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 13, 2026, May 20, 2025 (2 updates tracked since 2025).

On this page

About Glisten Dental Glendale NPPES

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

GLISTEN DENTAL GLENDALE (NPI 1811789340) is a healthcare organization registered as a dentist in Glendale, Arizona and active in the NPI registry since May 2025. The organization lists Revan Dawood, Owner, as its authorized official.

NPPES Registry Identity

NPI1811789340

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameGLISTEN DENTAL GLENDALE

Location Address4901 W BELL RD STE 140Glendale, AZ 85308-3416

Mailing Address4901 W Bell Rd Ste 140Glendale, AZ 85308-3416 · (480) 630-4446

Phone(602) 671-0303

Organization SubpartNo

Authorized OfficialRevan DawoodOwner · (480) 630-4446

Enumeration DateMay 20, 2025

Last NPPES UpdateSeptember 13, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2026

✔ NPI 1811789340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

4901 W BELL RD STE 140, Glendale, AZ 85308

Open in Google Maps ↗

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.Insurance ›

Other Providers at the Same Location NPPES 2

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

JG DENTAL PLLC

Clinic/Center (Dental)

4901 W BELL RD STE 140
GLENDALE, AZ 85308

Maricopa County (623) 738-4904

MEHRDAD EBADI

Dentist (General Practice)

4901 W BELL RD STE 140
GLENDALE, AZ 85308

Maricopa County (602) 671-0303

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 Glisten Dental Glendale's NPI number?

The NPI number for Glisten Dental Glendale is 1811789340. It was assigned to this organization in the NPPES registry on May 20, 2025.

Where is Glisten Dental Glendale located?

Glisten Dental Glendale is located at 4901 W Bell Rd Ste 140, Glendale, AZ 85308. The listed phone number is (602) 671-0303.

What is Glisten Dental Glendale's specialty?

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

What insurance does Glisten Dental Glendale accept?

Health plans from Ambetter from Arizona Complete Health list Glisten Dental Glendale 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 Glisten Dental Glendale was last updated on September 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.