OrganizationActive
Identity Dental Specialties
NPI 1275484495 · Dental Clinic/Center · Phoenix, AZ
Identity Dental Specialties is a Dental Clinic/Center organization in Phoenix, AZ (NPI 1275484495).
Provider details
- NPI number
- 1275484495
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mariyana Pavlova, Ceo, President(480) 661-4867
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
18325 N Allied Way Ste 115
Phoenix, AZ 85054-3107
Phone: (480) 661-4867
Fax: (480) 661-1266
Approximate (ZIP-level) locationGet directions
Mailing address
18325 N Allied Way Ste 115
Phoenix, AZ 85054-3107
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Identity Dental Specialties's NPI number?
- Identity Dental Specialties's National Provider Identifier (NPI) is 1275484495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Identity Dental Specialties?
- Identity Dental Specialties is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Identity Dental Specialties located?
- Identity Dental Specialties's practice location on file with NPPES is 18325 N Allied Way Ste 115, Phoenix, AZ 85054-3107.
- What is Identity Dental Specialties's phone number?
- The practice phone number listed in the NPPES registry for Identity Dental Specialties is (480) 661-4867.
- Who is the authorized official for Identity Dental Specialties?
- The authorized official listed on Identity Dental Specialties's NPPES record is Mariyana Pavlova, Ceo, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Identity Dental Specialties's NPI active?
- Yes — Identity Dental Specialties's NPI (1275484495) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.