Organization · Type 2 NPI

Identity Dental Specialties

Dental Clinic/Center · Phoenix, AZ

NPI number 1275484495 Active

Practice location

18325 N Allied Way Ste 115
Phoenix, AZ 85054-3107

Call (480) 661-4867 Map

Fax (480) 661-1266

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1275484495

Identity Dental Specialties's National Provider Identifier is 1275484495, issued on Feb 4, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 4, 2026.