Organization · Type 2 NPI

Innovative Dental Group, PLLC

General Practice Dentistry · Tucson, AZ

NPI number 1639677115 Active

Practice location

5209 N Oracle Rd
Tucson, AZ 85704-3707

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D008483 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

Other general practice dentistry providers in Tucson

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NPI record

NPI: 1639677115
Entity type: Organization (Type 2)
Issued: Jan 30, 2018
Last updated: Jul 30, 2026
Status: Active

Other names

<unavail>
Advanced Family Dentistry · doing business as
Advanced Family Dentistry · doing business as

Authorized official

Dr. Payam Kimiaei-Asadi, DMD
Dentist
(520) 293-9277

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About NPI 1639677115

Innovative Dental Group, PLLC's National Provider Identifier is 1639677115, issued on Jan 30, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tucson, AZ. The record was last updated on Jul 30, 2026.