BRIVADENTAL LLC NPI 1043645765

NPI Information

  • NPI: 1043645765
  • Provider Name: BRIVADENTAL LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: AZ COSMETIC & FAMILY DENTISTRY
  • Address: 13695 N 75TH AVE
    PEORIA, AZ
    ZIP 85381
  • Phone: (602) 439-1101

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NPI Details

BRIVADENTAL LLC is a clinic center in Peoria, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BRIVADENTAL LLC NPI is 1043645765. The provider is registered as an organization entity type.
The provider Is Doing Business As Az Cosmetic & Family Dentistry.

The provider's business location address is:

13695 N 75TH AVE
PEORIA, AZ
ZIP 85381-098
Phone: (602) 439-1101
Fax: (602) 789-1653

The provider's authorized official is Vasudha Narra .
The authorized official title is Owner and has the following contact phone number (602) 439-1101.

The enumeration date for this NPI number is 9/12/2013 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterD07658ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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