OrganizationActive
Intra Dental, Inc.
NPI 1609081652 · General Practice Dentistry · Phoenix, AZ
Intra Dental, Inc. is a General Practice Dentistry organization in Phoenix, AZ (NPI 1609081652).
Provider details
- NPI number
- 1609081652
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Roy Shim, President(310) 227-0944
- License
- D7163 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6135 N 35th Ave
Suite 135
Phoenix, AZ 85017-1950
Phone: (602) 973-0325
Fax: (602) 973-9704
Street-level locationGet directions
Mailing address
6135 N 35th Ave
Phoenix, AZ 85017-1950
Other names (DBA / former)
- Doing business as
- Cornerstone Dental Care
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2007-08-06
Frequently asked questions
- What is Intra Dental, Inc.'s NPI number?
- Intra Dental, Inc.'s National Provider Identifier (NPI) is 1609081652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intra Dental, Inc.?
- Intra Dental, Inc. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Intra Dental, Inc. located?
- Intra Dental, Inc.'s practice location on file with NPPES is 6135 N 35th Ave, Phoenix, AZ 85017-1950.
- What is Intra Dental, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Intra Dental, Inc. is (602) 973-0325.
- Who is the authorized official for Intra Dental, Inc.?
- The authorized official listed on Intra Dental, Inc.'s NPPES record is Roy Shim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intra Dental, Inc.'s NPI active?
- Yes — Intra Dental, Inc.'s NPI (1609081652) is active in the NPPES registry as of the last update on 2007-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.