OrganizationActive
Lydian Dental Queen Creek, LLC
NPI 1972097392 · General Practice Dentistry · Queen Creek, AZ
Lydian Dental Queen Creek, LLC is a General Practice Dentistry organization in Queen Creek, AZ (NPI 1972097392).
Provider details
- NPI number
- 1972097392
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Pam Buckhanan, Insurance Coordinator(480) 445-9188
- License
- D009270 (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
21295 S Ellsworth Loop Rd Ste 103
Queen Creek, AZ 85142-9867
Phone: (480) 445-9188
Fax: (480) 526-8177
Street-level locationGet directions
Mailing address
21295 S Ellsworth Loop Rd Ste 103
Queen Creek, AZ 85142-9867
Registry dates
- Enumerated
- 2018-06-19
- Last updated
- 2018-06-19
Frequently asked questions
- What is Lydian Dental Queen Creek, LLC's NPI number?
- Lydian Dental Queen Creek, LLC's National Provider Identifier (NPI) is 1972097392, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lydian Dental Queen Creek, LLC?
- Lydian Dental Queen Creek, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lydian Dental Queen Creek, LLC located?
- Lydian Dental Queen Creek, LLC's practice location on file with NPPES is 21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867.
- What is Lydian Dental Queen Creek, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lydian Dental Queen Creek, LLC is (480) 445-9188.
- Who is the authorized official for Lydian Dental Queen Creek, LLC?
- The authorized official listed on Lydian Dental Queen Creek, LLC's NPPES record is Pam Buckhanan, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lydian Dental Queen Creek, LLC's NPI active?
- Yes — Lydian Dental Queen Creek, LLC's NPI (1972097392) is active in the NPPES registry as of the last update on 2018-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.