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

Identity Dental Specialties

Organization Dental Clinic/Center · NPI 1275484495

Identity Dental Specialties is a Dental Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

18325 N Allied Way Ste 115
Phoenix, AZ 85054-3107
Phone: (480) 661-4867
Fax: (480) 661-1266
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1275484495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariyana Pavlova — Ceo, President · (480) 661-4867
NPI enumeratedFebruary 4, 2026
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address18325 N Allied Way Ste 115, Phoenix, AZ 85054-3107

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