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

Glisten Dental LLC

Organization Dentist · NPI 1104553478

Glisten Dental LLC is a Dentist in Gilbert, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
9
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

4365 E Pecos Rd Ste 127
Gilbert, AZ 85295-8052
Phone: (480) 331-4955
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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
Dentist Taxonomy 122300000X
Endodontics Taxonomy 1223E0200X
Pediatric Dentistry Taxonomy 1223P0221X
Periodontics Taxonomy 1223P0300X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Sleep Disorder Diagnostic Clinic/Center Taxonomy 261QS1200X

Record details

NPI number1104553478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Revan Dawood — Dentist · (623) 262-4372
NPI enumeratedAugust 5, 2022
Last updated in NPPESJune 8, 2024
Certification dateJune 8, 2024
Mailing address4365 E Pecos Rd Ste 127, Gilbert, AZ 85295-8052

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