OrganizationActive
Ideal Dental Anthem PLLC
NPI 1962126789 · Dentist · Anthem, AZ
Ideal Dental Anthem PLLC is a Dentist organization in Anthem, AZ (NPI 1962126789).
Provider details
- NPI number
- 1962126789
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rodney Alles, Owner(972) 331-8079
Practice location
39422 N Daisy Mountain Dr
Anthem, AZ 85086-6703
Phone: (623) 277-5002
Fax: (623) 887-8930
Street-level locationGet directions
Mailing address
Po Box 840925
Dallas, TX 75284-0925
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2023-10-02
- Certified
- 2023-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.