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

Elite Dental Group, LLC

Organization Dentist · NPI 1730574799

Elite Dental Group, LLC is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2001 W Bethany Home Rd
Phoenix, AZ 85015-2471
Phone: (602) 249-9621
Fax: (602) 841-1916
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 06072 (AZ)

Record details

NPI number1730574799
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Youil Mamook — Owner · (602) 249-9621
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015
Mailing address2001 W Bethany Home Rd, Phoenix, AZ 85015-2471

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