Active NPIOrganization

Advanced Dental Group, INC.

Dentist in Phoenix, Arizona

NPI Number1255695813
Practice location
15440 N 7TH St, Suite 8, Phoenix, AZ 85022-3535
Fax
602-504-6300
Last updated
June 28, 2012

Advanced Dental Group, INC. is a healthcare organization based in Phoenix, AZ. The NPI number for Advanced Dental Group, INC. is 1255695813 and holds license No. D4664 (AZ). The current practice location address is 15440 N 7TH St, Suite 8, Phoenix, AZ 85022-3535 and the office can be reached by phone at 602-504-6400 and by fax at 602-504-6300. The NPI was assigned on June 28, 2012 and the record was last updated in NPPES on June 28, 2012.

●Provider Profile Details

NPI Number
1255695813
Provider Name
Advanced Dental Group, INC.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Peter Spilotro, DDS · Owner/President · 623-680-9911
Enumeration Date
June 28, 2012
Last Update Date
June 28, 2012
NPI Status
Active

◉Business Practice Location Address

Address
15440 N 7TH St
Suite 8
Phoenix, AZ 85022-3535
State
Arizona
ZIP
85022-3535
Country
US
Phone Number
602-504-6400
Fax Number
602-504-6300

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✉Business Mailing Address

Address
7217 W Camino De Oro
Peoria, AZ 85383-3266
City
Peoria
State
AZ
ZIP
85383-3266
Phone Number
602-504-6400
Fax Number
602-504-6300

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Dentist
193200000X - Multi-Specialty Group
122300000XNoD4664AZ
Dentist, Endodontics
193200000X - Multi-Specialty Group
1223E0200XNoD5915AZ
Dentist
193200000X - Multi-Specialty Group
122300000XYesD5123AZ

#Other Provider Identifiers

No legacy or other 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 Advanced Dental Group, INC.?

The NPI number of Advanced Dental Group, INC. is 1255695813. It was assigned on June 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Advanced Dental Group, INC.?

Advanced Dental Group, INC. is registered under the primary taxonomy Dentist (code 122300000X) and holds license No. D4664 (AZ).

Where does Advanced Dental Group, INC. practice?

The practice location is 15440 N 7TH St, Suite 8, Phoenix, AZ 85022-3535. The office can be reached at 602-504-6400 (phone) or 602-504-6300 (fax).

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 1255695813 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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