MODEST DENTISTRY LLC NPI 1174215271

NPI Information

  • NPI: 1174215271
  • Provider Name: MODEST DENTISTRY LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 4025 W BELL RD STE 19
    PHOENIX, AZ
    ZIP 85053
  • Phone: (602) 938-2736

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NPI Details

MODEST DENTISTRY LLC is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MODEST DENTISTRY LLC NPI is 1174215271. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4025 W BELL RD STE 19
PHOENIX, AZ
ZIP 85053-749
Phone: (602) 938-2736
Fax: (602) 938-3783

The provider's authorized official is Pratik Rana .
The authorized official title is Owner and has the following contact phone number (201) 706-1016.

The enumeration date for this NPI number is 5/25/2023 and was last updated on 5/25/2023.

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
11223G0001XDentistGeneral PracticeYes

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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