Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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

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: July 19, 2026.

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

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
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 ListedDental HygienistTaxonomy 124Q00000X
Also ListedDental AssistantTaxonomy 126800000X
4212 N 16TH ST, Phoenix, AZ 85016

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.

Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Pharmacist
4212 N 16TH ST, PHARMACY
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Physician Assistant (Medical)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Dentist (General Practice)
4212 N 16TH ST
PHOENIX, AZ 85016
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Optometrist
4212 N 16TH ST
PHOENIX, AZ 85016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992819858, enumerated as an "organization" on August 18, 2006.

The provider is located at 4212 N 16TH ST PHOENIX, AZ 85016 and the phone number is (602) 263-1200.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.