EL MIRAGE DENTAL EXCELLENCE
NPI 1992197016
Dentist in El Mirage, AZ

Active since February 26, 2015
10111 N EL MIRAGE RD, SUITE #4, EL MIRAGE, AZ 85335(623) 882-1540(623) 882-1300 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About El Mirage Dental Excellence NPPES

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

EL MIRAGE DENTAL EXCELLENCE (NPI 1992197016) is a healthcare organization registered as a dentist in El Mirage, Arizona and active in the NPI registry since February 2015. The organization lists Dan Nydegger, Owner, as its authorized official.

NPPES Registry Identity

NPI1992197016
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMAHALO DENTAL GROUP LLC
Location Address10111 N EL MIRAGE RD, SUITE #4El Mirage, AZ 85335-3605
Mailing Address10111 N El Mirage Rd, Suite #4El Mirage, AZ 85335-3605 · (623) 882-1540 · Fax (623) 882-1300
Fax(623) 882-1300
Organization SubpartYesParent: El Mirage Dental Excellence
Authorized OfficialDan NydeggerOwner · (623) 882-1400
Enumeration DateFebruary 26, 2015
NPI 1992197016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · D5540
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.
10111 N EL MIRAGE RD, El Mirage, AZ 85335

Other Names 1

Other NameEl Mirage Dental Excellence

Other Identifiers 1

Medicaid6196645AZ

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Dentist
10111 N EL MIRAGE RD
EL MIRAGE, AZ 85335
Dentist (General Practice)
10111 N EL MIRAGE RD, SUITE 4
EL MIRAGE, AZ 85335

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 Mahalo Dental Group LLC's NPI number?

The NPI number for Mahalo Dental Group LLC is 1992197016. It was assigned to this organization in the NPPES registry on February 26, 2015. The provider is also known as El Mirage Dental Excellence.

Where is Mahalo Dental Group LLC located?

Mahalo Dental Group LLC is located at 10111 N El Mirage Rd Suite #4, El Mirage, AZ 85335. The listed phone number is (623) 882-1540.

What is Mahalo Dental Group LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Mahalo Dental Group LLC was last updated on February 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.