Organization Active NPI

Dental Foundations and Aesthetics

  • Dental Clinic/Center
  • Buckeye, AZ
National Provider Identifier
1104757129
Registry record updated Jul 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL FOUNDATIONS AND AESTHETICS
Practice address
20700 W Thomas Rd Ste 101
Buckeye, AZ 85396-1697
Phone
(405) 923-5535
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Austin Daniel Lau, DDSNPI 1104310648
Title
Owner
Phone
(623) 696-0274

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

20700 W Thomas Rd Ste 101
Buckeye, AZ 85396-1697

Mailing address

20700 W Thomas Rd Ste 107
Buckeye, AZ 85396-1697

National Provider Directory

National Provider Directory

Locations

20700 W Thomas Rd
Ste 107
Buckeye, AZ 85396

20700 W Thomas Rd
Ste 101
Buckeye, AZ 85396
Phone (405) 923-5535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783123200000",
    "number": "1104757129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20700 W THOMAS RD STE 107",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 W THOMAS RD STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853961697",
            "telephone_number": "405-923-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FOUNDATIONS AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-07-04",
        "certification_date": "2026-07-04",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-696-0274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.