OrganizationActive
Queen Creek Implants & Periodontics
NPI 1639913692 · Periodontics · Queen Creek, AZ
Queen Creek Implants & Periodontics is a Periodontics organization in Queen Creek, AZ (NPI 1639913692).
Provider details
- NPI number
- 1639913692
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Amy Benavidez, Office Manager(480) 247-6558
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
22363 E Domingo Rd Ste 103
Queen Creek, AZ 85142-0353
Phone: (480) 247-6558
Fax: (480) 275-2404
Street-level locationGet directions
Mailing address
22363 E Domingo Rd Ste 103
Queen Creek, AZ 85142-0353
Registry dates
- Enumerated
- 2024-06-24
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Queen Creek Implants & Periodontics's NPI number?
- Queen Creek Implants & Periodontics's National Provider Identifier (NPI) is 1639913692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queen Creek Implants & Periodontics?
- Queen Creek Implants & Periodontics is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Queen Creek Implants & Periodontics located?
- Queen Creek Implants & Periodontics's practice location on file with NPPES is 22363 E Domingo Rd Ste 103, Queen Creek, AZ 85142-0353.
- What is Queen Creek Implants & Periodontics's phone number?
- The practice phone number listed in the NPPES registry for Queen Creek Implants & Periodontics is (480) 247-6558.
- Who is the authorized official for Queen Creek Implants & Periodontics?
- The authorized official listed on Queen Creek Implants & Periodontics's NPPES record is Amy Benavidez, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queen Creek Implants & Periodontics's NPI active?
- Yes — Queen Creek Implants & Periodontics's NPI (1639913692) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.