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

Innovative Dental Group, PLLC

Organization General Practice Dentistry · NPI 1639677115

Innovative Dental Group, PLLC is a General Practice Dentistry in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5209 N Oracle Rd
Tucson, AZ 85704-3707
Phone: (520) 293-9277
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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 · Licence D008483 (AZ)

Record details

NPI number1639677115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Payam Kimiaei-Asadi — Dentist · (520) 293-9277
Other names Advanced Family Dentistry; Advanced Family Dentistry
NPI enumeratedJanuary 30, 2018
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address5209 N Oracle Rd, Tucson, AZ 85704-3707

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