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MIRROR IMAGE DENTAL LLC
NPI 1891594016
Clinic/Center - Dental in Phoenix, AZ

Active since March 11, 2025
4710 E CACTUS RD, PHOENIX, AZ 85032(480) 442-0225 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mirror Image Dental Llc NPPES

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

MIRROR IMAGE DENTAL LLC (NPI 1891594016) is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since March 2025. The organization lists Shawn Michael Maule, Ceo / Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1891594016
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMIRROR IMAGE DENTAL LLC
Location Address4710 E CACTUS RDPhoenix, AZ 85032-7706
Mailing Address1601 E Potter DrPhoenix, AZ 85024-4334 · (602) 705-9168
Phone(480) 442-0225
Organization SubpartNo
Authorized OfficialShawn Michael MauleCeo / Owner Dentist · (602) 705-9168
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1891594016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4710 E CACTUS RD, Phoenix, AZ 85032
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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 Mirror Image Dental LLC's NPI number?

The NPI number for Mirror Image Dental LLC is 1891594016. It was assigned to this organization in the NPPES registry on March 11, 2025.

Where is Mirror Image Dental LLC located?

Mirror Image Dental LLC is located at 4710 E Cactus Rd, Phoenix, AZ 85032. The listed phone number is (480) 442-0225.

What is Mirror Image Dental LLC'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 Mirror Image Dental LLC was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.