Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Age Defying Dentistry

Organization Dentist · NPI 1962721001

Age Defying Dentistry is a Dentist in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2010.

Licensed in
AZ
In the registry since
2010

Practice location Address checks out

21321 E Ocotillo Rd Bldg M Ste 130
Queen Creek, AZ 85142
Phone: (480) 840-9200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence AZ4044 (AZ)

Record details

NPI number1962721001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Velasco — Manager · (480) 840-9200
NPI enumeratedMay 28, 2010
Last updated in NPPESMay 28, 2010
Mailing address21321 East Ocotillo Rd Bldg M, Ste 130, Queen Creek, AZ 85142

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