OrganizationActive
Atd4 LLC
NPI 1619814605 · General Practice Dentistry · San Tan Valley, AZ
Atd4 LLC is a General Practice Dentistry organization in San Tan Valley, AZ (NPI 1619814605).
Provider details
- NPI number
- 1619814605
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lillie Bowers, Manager(480) 914-2655
Specialties & taxonomies
Dental Providers
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
35979 N Gary Rd Ste 104
San Tan Valley, AZ 85143-5750
Phone: (480) 914-2655
Street-level locationGet directions
Mailing address
35979 N Gary Rd Ste 104
San Tan Valley, AZ 85143-5750
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Atd4 LLC's NPI number?
- Atd4 LLC's National Provider Identifier (NPI) is 1619814605, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atd4 LLC?
- Atd4 LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Atd4 LLC located?
- Atd4 LLC's practice location on file with NPPES is 35979 N Gary Rd Ste 104, San Tan Valley, AZ 85143-5750.
- What is Atd4 LLC's phone number?
- The practice phone number listed in the NPPES registry for Atd4 LLC is (480) 914-2655.
- Who is the authorized official for Atd4 LLC?
- The authorized official listed on Atd4 LLC's NPPES record is Lillie Bowers, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atd4 LLC's NPI active?
- Yes — Atd4 LLC's NPI (1619814605) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.