OrganizationActive
Dentists at Queen Creek, PLLC
NPI 1528605649 · General Practice Dentistry · Queen Creek, AZ
Dentists at Queen Creek, PLLC is a General Practice Dentistry organization in Queen Creek, AZ (NPI 1528605649).
Provider details
- NPI number
- 1528605649
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brittany Eddy, Credentialing Manager(713) 869-4535
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
21295 S Ellsworth Loop Rd
Queen Creek, AZ 85142-9866
Phone: (480) 445-9188
Fax: (480) 526-8177
Street-level locationGet directions
Mailing address
1046 Westwood Trl
Oneida, NY 13421-4629
Other names (DBA / former)
- Former legal business name
- Lydian Dental Qc
Registry dates
- Enumerated
- 2019-12-09
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Frequently asked questions
- What is Dentists at Queen Creek, PLLC's NPI number?
- Dentists at Queen Creek, PLLC's National Provider Identifier (NPI) is 1528605649, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dentists at Queen Creek, PLLC?
- Dentists at Queen Creek, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dentists at Queen Creek, PLLC located?
- Dentists at Queen Creek, PLLC's practice location on file with NPPES is 21295 S Ellsworth Loop Rd, Queen Creek, AZ 85142-9866.
- What is Dentists at Queen Creek, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Dentists at Queen Creek, PLLC is (480) 445-9188.
- Who is the authorized official for Dentists at Queen Creek, PLLC?
- The authorized official listed on Dentists at Queen Creek, PLLC's NPPES record is Brittany Eddy, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dentists at Queen Creek, PLLC's NPI active?
- Yes — Dentists at Queen Creek, PLLC's NPI (1528605649) is active in the NPPES registry as of the last update on 2019-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.