OrganizationActive
Age Defying Dentistry
NPI 1962721001 · Dentist · Queen Creek, AZ
Age Defying Dentistry is a Dentist organization in Queen Creek, AZ (NPI 1962721001).
Provider details
- NPI number
- 1962721001
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- David Velasco, Manager(480) 840-9200
- License
- AZ4044 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
21321 East Ocotillo Rd Bldg M, Ste 130
Queen Creek, AZ 85142
Phone: (480) 840-9200
Street-level locationGet directions
Mailing address
21321 East Ocotillo Rd Bldg M, Ste 130
Queen Creek, AZ 85142
Registry dates
- Enumerated
- 2010-05-28
- Last updated
- 2010-05-28
Frequently asked questions
- What is Age Defying Dentistry's NPI number?
- Age Defying Dentistry's National Provider Identifier (NPI) is 1962721001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Age Defying Dentistry?
- Age Defying Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Age Defying Dentistry located?
- Age Defying Dentistry's practice location on file with NPPES is 21321 East Ocotillo Rd Bldg M, Ste 130, Queen Creek, AZ 85142.
- What is Age Defying Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Age Defying Dentistry is (480) 840-9200.
- Who is the authorized official for Age Defying Dentistry?
- The authorized official listed on Age Defying Dentistry's NPPES record is David Velasco, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Age Defying Dentistry's NPI active?
- Yes — Age Defying Dentistry's NPI (1962721001) is active in the NPPES registry as of the last update on 2010-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.