Glisten Dental LLC
NPI 1104553478 · General Practice Dentistry · Gilbert, AZ
Glisten Dental LLC is a General Practice Dentistry organization in Gilbert, AZ (NPI 1104553478).
Provider details
- NPI number
- 1104553478
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Revan Dawood, Dentist(623) 262-4372
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
- Endodontics1223E0200X
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
- Periodontics1223P0300X
Dental Providers
- Prosthodontics1223P0700X
Dental Providers
- Oral and Maxillofacial Surgery (Dentist)1223S0112X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-08-05
- Last updated
- 2024-06-08
- Certified
- 2024-06-08
Frequently asked questions
- What is Glisten Dental LLC's NPI number?
- Glisten Dental LLC's National Provider Identifier (NPI) is 1104553478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Glisten Dental LLC?
- Glisten Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Glisten Dental LLC located?
- Glisten Dental LLC's practice location on file with NPPES is 4365 E Pecos Rd Ste 127, Gilbert, AZ 85295-8052.
- What is Glisten Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Glisten Dental LLC is (480) 331-4955.
- Who is the authorized official for Glisten Dental LLC?
- The authorized official listed on Glisten Dental LLC's NPPES record is Revan Dawood, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Glisten Dental LLC's NPI active?
- Yes — Glisten Dental LLC's NPI (1104553478) is active in the NPPES registry as of the last update on 2024-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.