Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Paradise Valley Center for Cosmetic and Comprehensive Dentistry, PLLC

Organization Dentist · NPI 1588897037

Paradise Valley Center for Cosmetic and Comprehensive Dentistry, PLLC provides Dentist services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11110 N Tatum Blvd Ste 102
Phoenix, AZ 85028-1607 Not confirmed with CMS for 17 years — call before visiting
Phone: (602) 992-4510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D7229 (AZ)

Record details

NPI number1588897037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitch Ellingson — Partner · (602) 992-4510
NPI enumeratedSeptember 1, 2009
Last updated in NPPESSeptember 1, 2009
Mailing address11110 N Tatum Blvd, Suite 102, Phoenix, AZ 85028-1607

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