Pacific Dental Services Foundation
NPI 1659848208 · Medical Physician Assistant · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Dental Services Foundation is a Medical Physician Assistant organization in Phoenix, AZ (NPI 1659848208).
Provider details
- NPI number
- 1659848208
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jack Dillenberg, Owner(714) 845-8500
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2018-10-31
- Last updated
- 2019-03-28
Frequently asked questions
- What is Pacific Dental Services Foundation's NPI number?
- Pacific Dental Services Foundation's National Provider Identifier (NPI) is 1659848208, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Dental Services Foundation?
- Pacific Dental Services Foundation is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pacific Dental Services Foundation located?
- Pacific Dental Services Foundation's practice location on file with NPPES is 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032.
- What is Pacific Dental Services Foundation's phone number?
- The practice phone number listed in the NPPES registry for Pacific Dental Services Foundation is (714) 845-8500.
- Does Pacific Dental Services Foundation accept Medicare?
- Pacific Dental Services Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Dental Services Foundation?
- The authorized official listed on Pacific Dental Services Foundation's NPPES record is Jack Dillenberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Dental Services Foundation's NPI active?
- Yes — Pacific Dental Services Foundation's NPI (1659848208) is active in the NPPES registry as of the last update on 2019-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.