Provider record
Queen Creek Modern Dentistry, Llp
Queen Creek Modern Dentistry, Llp is listed in CMS NPPES as an organization record with a General Practice Dentistry taxonomy. The record shows a practice location at 25166 S Ellsworth Rd Ste B107, Queen Creek, AZ. NPPES also reports a phone number. Confirm current office details directly with the provider.
National Plan and Provider Enumeration System
CMS NPPES
Reported to NPPES
No affiliation or endorsement implied
We show source-reported CMS NPPES fields.
Confirm details directly with the provider.NPI and status
Source-labeled identifiers and reported record state.
- NPI
- 1619725900
- 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
- 25166 S Ellsworth Rd Ste B107
Queen Creek, AZ 85142-0326 - Phone
- (602) 730-9795
Directions
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Verify or correct this record
Confirm changing details directly, compare the NPI with CMS NPPES, or report an outdated field.
- Confirm the office address and phone number directly with the provider.
- Use the NPI number when comparing this record with CMS NPPES.
- Check state licensing sources separately for license status or disciplinary history.
- Ask the office about insurance, appointments, services, and availability.
Taxonomy and source
Specialty taxonomy is source-reported and not a quality or license determination.
- Taxonomy code
- 1223G0001X
- Specialty
- General Practice Dentistry
- Source
- CMS NPPES
- Last updated
- July 12, 2026
Record actions
Contact and sources
Call the reported phone number or review how CMS NPPES fields are used.