OrganizationActive
Imagine Dental
NPI 1043623770 · Dentist · Phoenix, AZ
Imagine Dental is a Dentist organization in Phoenix, AZ (NPI 1043623770).
Provider details
- NPI number
- 1043623770
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Dental Specialty Associates
- Organization subpart
- Yes
- Authorized official
- Brian Lilien, Owner(480) 633-9977
- License
- D07028 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 W Maryland Ave
1-2
Phoenix, AZ 85013-1399
Phone: (480) 633-9977
Street-level locationGet directions
Mailing address
650 W Maryland Ave
Phoenix, AZ 85013-1399
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Frequently asked questions
- What is Imagine Dental's NPI number?
- Imagine Dental's National Provider Identifier (NPI) is 1043623770, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imagine Dental?
- Imagine Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Imagine Dental located?
- Imagine Dental's practice location on file with NPPES is 650 W Maryland Ave, Phoenix, AZ 85013-1399.
- What is Imagine Dental's phone number?
- The practice phone number listed in the NPPES registry for Imagine Dental is (480) 633-9977.
- Who is the authorized official for Imagine Dental?
- The authorized official listed on Imagine Dental's NPPES record is Brian Lilien, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imagine Dental's NPI active?
- Yes — Imagine Dental's NPI (1043623770) is active in the NPPES registry as of the last update on 2014-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.