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

Peoria Dentistry

Organization General Practice Dentistry · NPI 1124858154

Peoria Dentistry is a General Practice Dentistry in Peoria, Arizona. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

20470 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9708
Phone: (623) 825-7003
Fax: (623) 825-0076
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1124858154
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrivadental LLC
Authorized official Leticia Rojas — Regional Manager · (480) 363-2145
NPI enumeratedAugust 5, 2024
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address20470 N Lake Pleasant Rd Ste 105, Peoria, AZ 85382-9708

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