Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lydian Dental Queen Creek, LLC

Organization General Practice Dentistry · NPI 1972097392

Lydian Dental Queen Creek, LLC provides General Practice Dentistry in Queen Creek, Arizona. Licensed in Arizona. Registered with an NPI since 2018.

Licensed in
AZ
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

21295 S Ellsworth Loop Rd Ste 103
Queen Creek, AZ 85142-9867
Phone: (480) 445-9188
Fax: (480) 526-8177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D009270 (AZ)

Record details

NPI number1972097392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Buckhanan — Insurance Coordinator · (480) 445-9188
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018
Mailing address21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867

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