IVY 2 DENTAL PLLC NPI 1689100885

NPI Information

  • NPI: 1689100885
  • Provider Name: IVY 2 DENTAL PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Former Legal Business Name: SILVERSTONE PEDIATRIC GROUP, PLLC
  • Address: 13075 W MCDOWELL RD
    SUITE D-100
    AVONDALE, AZ
    ZIP 85392
  • Phone: (623) 322-8999

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NPI Details

IVY 2 DENTAL PLLC is a pediatric dentistry dentist in Avondale, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. IVY 2 DENTAL PLLC NPI is 1689100885. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Silverstone Pediatric Group, Pllc.

The provider's business location address is:

13075 W MCDOWELL RD
SUITE D-100
AVONDALE, AZ
ZIP 85392-436
Phone: (623) 322-8999

The provider's authorized official is Umar M Imtiaz .
The authorized official title is Associate Provider and has the following contact phone number (623) 444-9999.

The enumeration date for this NPI number is 5/8/2017 and was last updated on 7/20/2021.

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
11223P0221XDentistPediatric Dentistry7256ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1287411MEDICAIDARIZONA

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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