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

Lydian Dental Queen Creek, LLC

Organization General Practice Dentistry · NPI 1972097392

Lydian Dental Queen Creek, LLC is a General Practice Dentistry in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
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

21295 S Ellsworth Loop Rd Ste 103
Queen Creek, AZ 85142-9867
Phone: (480) 445-9188
Fax: (480) 526-8177
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D009270 (AZ)

Record details

NPI number1972097392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Buckhanan — Insurance Coordinator · (480) 445-9188
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018
Mailing address21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867

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