Organization · Type 2 NPI

Ivy 2 Dental PLLC

Pediatric Dentistry · Avondale, AZ

NPI number 1689100885 Active

Practice location

13075 W Mcdowell Rd, Suite D-100
Avondale, AZ 85392-6436

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	7256 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

Other pediatric dentistry providers in Avondale

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NPI record

NPI: 1689100885
Entity type: Organization (Type 2)
Issued: May 8, 2017
Last updated: Jul 20, 2021
Status: Active
Subpart: Yes of Ivy 2 Dental PLLC

Other names

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Silverstone Pediatric Group, PLLC · former legal business name

Authorized official

Umar M Imtiaz, DDS
Associate Provider
(623) 444-9999

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689100885

Ivy 2 Dental PLLC's National Provider Identifier is 1689100885, issued on May 8, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Avondale, AZ. The record was last updated on Jul 20, 2021.