Provider record
A 19th Avenue Dental Care
Use this page to review the CMS NPPES listing for A 19th Avenue Dental Care: Dentist, organization entity type, practice location in Phoenix, AZ, and source checked date. Confirm details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
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We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1356501662
- Entity type
- Organization
- NPPES status
- Reported active
- License status
- Not primary-source verified
Practice location
Practice address and phone as reported in CMS NPPES.
- Address
- 5225 N 19th Avenue, #c
Phoenix, AZ 85015 - Phone
- (602) 433-0313
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Nearby dentists
Approximate straight-line distance from this practice location.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 122300000X
- Specialty
- Dentist
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
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