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

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.
NPI 1992819858
Dentist in Phoenix, AZ

Q: What is Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm.'s specialty?

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

Active since August 18, 2006

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 19, 2026, Jun 18, 2019, Nov 9, 2017 (3 updates tracked since 2017).

On this page

About Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm. NPPES

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

DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM. (NPI 1992819858), doing business as Ihs Phx Med Ctr-dental, is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since August 2006. The organization lists Laura Tillman, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1992819858

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619

Phone(602) 263-1200

Fax(602) 263-1619

Organization SubpartYesParent: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Authorized OfficialLaura TillmanChief Medical Officer · (602) 263-1674

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration

NPPES CertifiedJuly 1, 2026

✔ NPI 1992819858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ 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.

Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · General PracticeTaxonomy 1223G0001X

Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

Also ListedDental HygienistTaxonomy 124Q00000X

Also ListedDental AssistantTaxonomy 126800000X

4212 N 16TH ST, Phoenix, AZ 85016

Open in Google Maps ↗

Other Names 2

Doing Business AsIhs Phx Med Ctr-dental

Doing Business AsPimc Dental Services

Other Identifiers 4

Medicaid022062AZ

OtherP0206550AZ · Bcbsaz

Medicaid092354AZ

Medicaid418196AZ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)