OrganizationActive
Stetson Village Dental LLC
NPI 1104590728 · General Practice Dentistry · Glendale, AZ
Stetson Village Dental LLC is a General Practice Dentistry organization in Glendale, AZ (NPI 1104590728).
Provider details
- NPI number
- 1104590728
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Faith Gaskin, Credentialing Directory(972) 869-3789
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
3870 W Happy Valley Rd Ste 154
Glendale, AZ 85310-3296
Phone: (623) 533-4895
Street-level locationGet directions
Mailing address
3870 W Happy Valley Rd Ste 154
Glendale, AZ 85310-3296
Other names (DBA / former)
- Doing business as
- Stetson Village Family Dental
Registry dates
- Enumerated
- 2021-08-06
- Last updated
- 2021-08-06
- Certified
- 2021-08-06
Frequently asked questions
- What is Stetson Village Dental LLC's NPI number?
- Stetson Village Dental LLC's National Provider Identifier (NPI) is 1104590728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stetson Village Dental LLC?
- Stetson Village Dental LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Stetson Village Dental LLC located?
- Stetson Village Dental LLC's practice location on file with NPPES is 3870 W Happy Valley Rd Ste 154, Glendale, AZ 85310-3296.
- What is Stetson Village Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Stetson Village Dental LLC is (623) 533-4895.
- Who is the authorized official for Stetson Village Dental LLC?
- The authorized official listed on Stetson Village Dental LLC's NPPES record is Faith Gaskin, Credentialing Directory. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stetson Village Dental LLC's NPI active?
- Yes — Stetson Village Dental LLC's NPI (1104590728) is active in the NPPES registry as of the last update on 2021-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.