Ivy 2 Dental Pllc is a Pediatric Dental Clinic in Avondale, Arizona. This organization is also known as sub part of Ivy 2 Dental Pllc. It is located at 13075 W Mcdowell Rd, Suite D-100, Avondale, AZ and its contact number is 623-322-8999. 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 (Pediatric Dentistry) in Arizona. Ivy 2 Dental Pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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:
Pediatric Dentistry
Clinic Address:
13075 W Mcdowell Rd, Suite D-100, Avondale, Arizona, 85392-6436
Phone:
623-322-8999
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:
1689100885
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
Pediatric Dentistry
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
287411
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 13075 W Mcdowell Rd, Suite D-100 Avondale, Arizona
Zip:
85392-6436
Phone Number:
623-322-8999
Patients can reach Ivy 2 Dental Pllc at 13075 W Mcdowell Rd, Suite D-100, Avondale, Arizona or can call to book an appointment on 623-322-8999. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.