Ivy 2 Dental Pllc is a Pediatric Dental Clinic in Glendale, Arizona. This organization is also known as sub part of Ivy 2 Dental Pllc. It is located at 5144 W Olive Ave, Glendale, AZ and its contact number is 623-939-9944. 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: | 5144 W Olive Ave, Glendale,
Arizona, 85302-4209 |
| Phone: | 623-939-9944 |
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: | 1306372503 |
| 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 |
| 274792 | 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
5144 W Olive Ave,
Glendale, Arizona |
| Zip: | 85302-4209 |
| Phone Number: | 623-939-9944 |
Patients can reach Ivy 2 Dental Pllc at
5144 W Olive Ave, Glendale, Arizona or can
call to book an appointment on 623-939-9944.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.