OrganizationActive
Advanced Dentistrypllc
NPI 1154787778 · Dentist · Sierra Vista, AZ
Advanced Dentistrypllc is a Dentist organization in Sierra Vista, AZ (NPI 1154787778).
Provider details
- NPI number
- 1154787778
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kent Hales, Owner(520) 458-9460
- License
- D4943 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1236 E Fry Blvd
Sierra Vista, AZ 85635-2602
Phone: (520) 458-9460
Fax: (520) 458-9461
Street-level locationGet directions
Mailing address
1236 E Fry Blvd
Sierra Vista, AZ 85635-2602
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2016-01-12
Frequently asked questions
- What is Advanced Dentistrypllc's NPI number?
- Advanced Dentistrypllc's National Provider Identifier (NPI) is 1154787778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dentistrypllc?
- Advanced Dentistrypllc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Advanced Dentistrypllc located?
- Advanced Dentistrypllc's practice location on file with NPPES is 1236 E Fry Blvd, Sierra Vista, AZ 85635-2602.
- What is Advanced Dentistrypllc's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dentistrypllc is (520) 458-9460.
- Who is the authorized official for Advanced Dentistrypllc?
- The authorized official listed on Advanced Dentistrypllc's NPPES record is Kent Hales, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dentistrypllc's NPI active?
- Yes — Advanced Dentistrypllc's NPI (1154787778) is active in the NPPES registry as of the last update on 2016-01-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.