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

ATD4 LLC

Organization General Practice Dentistry · NPI 1619814605

ATD4 LLC is a General Practice Dentistry in San Tan Valley, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

35979 N Gary Rd Ste 104
San Tan Valley, AZ 85143-5750
Phone: (480) 914-2655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1619814605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lillie Bowers — Manager · (480) 914-2655
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address35979 N Gary Rd Ste 104, San Tan Valley, AZ 85143-5750

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