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

Paradise Valley Center for Cosmetic and Comprehensive Dentistry, PLLC

Organization Dentist · NPI 1588897037

Paradise Valley Center for Cosmetic and Comprehensive Dentistry, PLLC is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
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

11110 N Tatum Blvd Ste 102
Phoenix, AZ 85028-1607
Phone: (602) 992-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7229 (AZ)

Record details

NPI number1588897037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitch Ellingson — Partner · (602) 992-4510
NPI enumeratedSeptember 1, 2009
Last updated in NPPESSeptember 1, 2009
Mailing address11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607

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