THE REAL DR. PHOENIX LLC NPI 1508755323

NPI Information

  • NPI: 1508755323
  • Provider Name: THE REAL DR. PHOENIX, LLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 6920 E SHEA BLVD STE 101
    SCOTTSDALE, AZ
    ZIP 85254
  • Phone: (480) 991-3244

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NPI Details

THE REAL DR. PHOENIX, LLC is a general practice dentist in Scottsdale, 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. THE REAL DR. PHOENIX, LLC NPI is 1508755323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6920 E SHEA BLVD STE 101
SCOTTSDALE, AZ
ZIP 85254-185
Phone: (480) 991-3244
Fax: (480) 922-9253

The provider's authorized official is Omar Karaboulad .
The authorized official title is Owner/doctor and has the following contact phone number (480) 991-3244.

The enumeration date for this NPI number is 6/30/2025 and was last updated on 6/30/2025.

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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