Ivy 2 Dental Pllc is a Dental Clinic in Glendale, Arizona. This organization is also known as sub part of Ivy 2 Dental Pllc. It is located at 17570 N 75th Ave, Suite E500, Glendale, AZ and its contact number is 623-322-9919. The authorized person for Ivy 2 Dental Pllc is Umar M Imtiaz
who is Associate Provider of the clinic and their contact number is 623-444-9999. The primary license number for Ivy 2 Dental Pllc is 7256 (Dentist) in Arizona.
Ivy 2 Dental Pllc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Ivy 2 Dental Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Ivy 2 Dental Pllc |
| Specialization: | Dentistry |
| Clinic Address: | 17570 N 75th Ave, Suite E500, Glendale,
Arizona, 85308-5999 |
| Phone: | 623-322-9919 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Umar M Imtiaz |
| Position: | Associate Provider |
| Contact Number: | 623-444-9999 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ivy 2 Dental Pllc clinic are as mentioned below.
| NPI Number: | 1760918965 |
| Parent Organization: | Ivy 2 Dental Pllc |
| NPI Enumeration Date: | 08 May, 2017 |
| NPI Last Update On: | 20 Jul, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivy 2 Dental Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 7256 | Arizona | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 274819 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ivy 2 Dental Pllc
17570 N 75th Ave, Suite E500
Glendale, Arizona |
| Zip: | 85308-5999 |
| Phone Number: | 623-322-9919 |
Patients can reach Ivy 2 Dental Pllc at
17570 N 75th Ave, Suite E500, Glendale, Arizona or can
call to book an appointment on 623-322-9919.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.