HEALTHY TEETH FAMILY DENTISTRY
NPI 1972886646
Dentist - General Practice in Glendale, AZ

Active since September 20, 2011
10630 N 59TH AVE, SUITE#101, GLENDALE, AZ 85304(623) 878-0117(623) 878-6396 Get Directions Write a Review

NPPES record last updated: September 20, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Healthy Teeth Family Dentistry NPPES

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

HEALTHY TEETH FAMILY DENTISTRY (NPI 1972886646) is a healthcare organization registered as a general practice in Glendale, Arizona and active in the NPI registry since September 2011. The organization lists Harjot Kaur Brar, Owner, as its authorized official.

NPPES Registry Identity

NPI1972886646
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHEALTHY TEETH FAMILY DENTISTRY
Location Address10630 N 59TH AVE, SUITE#101Glendale, AZ 85304-1239
Mailing Address10630 N 59th Ave, Suite#101Glendale, AZ 85304-1239 · (623) 878-0117 · Fax (623) 878-6396
Fax(623) 878-6396
Organization SubpartYesParent: Peoria Camelbackllc
Authorized OfficialHarjot Kaur BrarOwner · (623) 878-0117
Enumeration DateSeptember 20, 2011
✔ NPI 1972886646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D6397
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10630 N 59TH AVE, Glendale, AZ 85304

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthy Teeth Family Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthy Teeth Family Dentistry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1720192578
10630 N 59TH AVE SUITE101
Glendale, AZ 85304
(623) 878-0117
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healthy Teeth Family Dentistry's NPI number?

The NPI number for Healthy Teeth Family Dentistry is 1972886646. It was assigned to this organization in the NPPES registry on September 20, 2011.

Where is Healthy Teeth Family Dentistry located?

Healthy Teeth Family Dentistry is located at 10630 N 59th Ave Suite#101, Glendale, AZ 85304. The listed phone number is (623) 878-0117.

What is Healthy Teeth Family Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Healthy Teeth Family Dentistry enrolled in Medicare?

Yes. Healthy Teeth Family Dentistry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthy Teeth Family Dentistry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Healthy Teeth Family Dentistry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healthy Teeth Family Dentistry accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Healthy Teeth Family Dentistry 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 Healthy Teeth Family Dentistry was last updated on September 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.