OrganizationActive
Implant & Reconstructive Dentistry PLLC
NPI 1235604166 · Dentist · Mesa, AZ
Provider details
- NPI number
- 1235604166
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Payam Abedi, Managing Member/Dentist(480) 390-4378
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1423 S Higley Rd Ste 117
Mesa, AZ 85206-3450
Phone: (480) 390-4378
Street-level locationGet directions
Mailing address
1423 S Higley Rd Ste 117
Mesa, AZ 85206-3450
Registry dates
- Enumerated
- 2018-10-07
- Last updated
- 2018-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.