AZ DENTAL LABORATORY LLC
NPI 1902428527
Dental Laboratory in Surprise, AZ

Active since May 18, 2020
15028 W JACKPOT WAY, SURPRISE, AZ 85374(602) 802-9751 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Az Dental Laboratory Llc NPPES

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

AZ DENTAL LABORATORY LLC (NPI 1902428527) is a healthcare organization registered as a dental laboratory in Surprise, Arizona and active in the NPI registry since May 2020. The organization lists Kristina Flit, Owner, as its authorized official.

NPPES Registry Identity

NPI1902428527
Entity TypeOrganization
Primary Taxonomy292200000X
Legal Business NameAZ DENTAL LABORATORY LLC
Location Address15028 W JACKPOT WAYSurprise, AZ 85374-4439
Mailing Address9847 W Mohawk LnPeoria, AZ 85382-2293 · (517) 420-2303
Organization SubpartNo
Authorized OfficialKristina FlitOwner · (517) 420-2303
Enumeration DateMay 18, 2020
NPPES CertifiedMay 18, 2020
NPI 1902428527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental LaboratoryLaboratories
Taxonomy Code292200000X
Definition

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

15028 W JACKPOT WAY, Surprise, AZ 85374

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 Az Dental Laboratory LLC's NPI number?

The NPI number for Az Dental Laboratory LLC is 1902428527. It was assigned to this organization in the NPPES registry on May 18, 2020.

Where is Az Dental Laboratory LLC located?

Az Dental Laboratory LLC is located at 15028 W Jackpot Way, Surprise, AZ 85374. The listed phone number is (602) 802-9751.

What is Az Dental Laboratory LLC's specialty?

The primary specialty registered for this NPI is Dental Laboratory with taxonomy code 292200000X.

When was this NPI record last updated?

The NPPES record for Az Dental Laboratory LLC was last updated on May 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.