OrganizationActive
Innovative Dental Group, PLLC
NPI 1639677115 · General Practice Dentistry · Tucson, AZ
Provider details
- NPI number
- 1639677115
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Payam Kimiaei-Asadi, Dentist(520) 353-3002
- License
- D008483 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5209 N Oracle Rd
Tucson, AZ 85704-3707
Phone: (520) 353-3002
Street-level locationGet directions
Mailing address
5209 N Oracle Rd
Tucson, AZ 85704-3707
Other names (DBA / former)
- Doing business as
- Advanced Family Dentistry
- Doing business as
- Advanced Family Dentistry
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2020-02-20
- Certified
- 2020-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.