Mazin Albayati, DDS
Individual provider Active NPI Dentist · Glendale, AZ
NPI 1043821028 · NPPES record last updated Jul 15, 2025
Key facts
- NPI
- 1043821028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 105006 (CA)
- Practice address
- 5940 W Union Hills Dr Ste F110
Glendale, AZ 85308-1304 - Phone
- (512) 772-9355
- Fax
- (623) 815-5702
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105006 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Dental Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105006 | CA | Yes |
Addresses
Primary practice location
5940 W Union Hills Dr Ste F110
Glendale, AZ 85308-1304
Mailing address
5940 W Union Hills Dr Ste F110
Glendale, AZ 85308-1304
Phone (512) 772-9355
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.