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

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm

Organization Dentist · NPI 1992819858

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm is a Dentist in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
11
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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X
Public Health Dentistry Taxonomy 1223D0001X
Endodontics Taxonomy 1223E0200X
General Practice Dentistry Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Dental Hygienist Taxonomy 124Q00000X
Dental Assistant Taxonomy 126800000X

Record details

NPI number1992819858
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Authorized official Laura Tillman — Chief Medical Officer · (602) 263-1674
Other names Ihs Phx Med Ctr-Dental; Pimc Dental Services
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing addressPo Box 95460, Cleveland, OH 44101-0033

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