- Practice location
- 4235 N 32ND St, Suite C, Phoenix, AZ 85018-4766
- Phone
- 602-957-2411
- Fax
- —
- Last updated
- May 22, 2023
Agave Dental LLC is a healthcare organization based in Phoenix, AZ. Agave Dental LLC practices in Phoenix, AZ. The NPI Number for Agave Dental LLC is 1851780852 and holds a License No. F000375 (AZ). The current practice location address for Agave Dental LLC is 4235 N 32ND St, Suite C, Phoenix, AZ 85018-4766 and can be reached out via phone at 602-957-2411.
Provider Profile Details
- NPI Number
- 1851780852
- Provider Name
- Agave Dental LLC
- Provider Entity Type
- Organization
- Address
- 4235 N 32ND St, Suite C, Phoenix, AZ 85018-4766
- Phone Number
- 602-957-2411
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Monica Dewitt · Office Administrator · 602-914-4274
- Provider Enumeration Date
- January 13, 2015
- Last Update Date
- May 22, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4235 N 32ND St
Suite C
Phoenix, AZ 85018-4766 - City
- Phoenix
- State
- Arizona
- Zip
- 85018-4766
- Phone Number
- 602-957-2411
Provider Business Mailing Address Details
- Address
- Po Box 61025
Phoenix, AZ 85082-1025 - City
- Phoenix
- State
- AZ
- Zip
- 85082-1025
License Information
- License Number
- F000375
- License State
- AZ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Agave Dental LLC?
The NPI number of Agave Dental LLC is 1851780852. It was assigned on January 13, 2015 and is currently active in the NPPES registry.
What is the specialty of Agave Dental LLC?
Agave Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in AZ under license number F000375.
Where does Agave Dental LLC practice?
The practice location is 4235 N 32ND St, Suite C, Phoenix, AZ 85018-4766. The office can be reached at 602-957-2411 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851780852 directly on the NPPES registry website.