Agave Dental LLC
Dentist, General Practice in Phoenix, Arizona
1851780852- 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. The NPI number for Agave Dental LLC is 1851780852 and holds license No. F000375 (AZ). The current practice location address is 4235 N 32ND St, Suite C, Phoenix, AZ 85018-4766 and the office can be reached by phone at 602-957-2411. The NPI was assigned on January 13, 2015 and the record was last updated in NPPES on May 22, 2023.
●Provider Profile Details
- NPI Number
- 1851780852
- Provider Name
- Agave Dental LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Monica Dewitt · Office Administrator · 602-914-4274
- Enumeration Date
- January 13, 2015
- Last Update Date
- May 22, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4235 N 32ND St
Suite C
Phoenix, AZ 85018-4766 - City
- Phoenix
- State
- Arizona
- ZIP
- 85018-4766
- Country
- US
- Phone Number
- 602-957-2411
✉Business Mailing Address
- Address
- Po Box 61025
Phoenix, AZ 85082-1025 - City
- Phoenix
- State
- AZ
- ZIP
- 85082-1025
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dentist, General Practice 193400000X - Single Specialty Group | 1223G0001X | Yes | F000375 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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) and holds license No. F000375 (AZ).
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 at npiregistry.cms.hhs.gov.