Glisten Dental Llc

LBN: Glisten Dental Llc
Glisten Dental Llc is an health care organization with primary practice located at 4365 E Pecos Rd Ste 127 , Gilbert AZ 85295-8052. The organization recently has 9 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Ambulatory Health Care Facilities / Sleep Disorder Diagnostic. Dental Providers / General Practice is the primary health care specialty. Glisten Dental Llc can be contacted via phone (480) 331-4955, or through Dawood, Revan via phone (623) 262-4372.

Contact Information

Primary practice address
4365 E Pecos Rd Ste 127 Gilbert AZ 85295-8052
Phone: (480) 331-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dawood, Revan Doctor of Dental Medicine (DMD)
Phone: (623) 262-4372

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X
Ambulatory Health Care Facilities / Sleep Disorder Diagnostic 261QS1200X

Profile Details

NPI number 1104553478
LBN Legal business name Glisten Dental Llc
DBA Doing business as
Authorized official Dawood, Revan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2022
Last updated Jun 8th, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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