Peoria Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PEORIA DENTISTRY

Practice address

20470 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9708

Phone

(623) 825-7003

Fax

(623) 825-0076

NPI assigned

Aug 5, 2024

Organization subpart

Yes

Parent organization

BRIVADENTAL LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Leticia L Rojas

Title

Regional Manager

Phone

(480) 363-2145

Specialties & licenses 1

Addresses

Part of

Briva Dental LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brivadental LLC

  • Clinic/Center
  • Peoria, AZ
  • NPI 1043645765
  NPPES parent name

Practitioners 1

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

• David Paul Terlizzi, DDS

  • Dentist
  • Peoria, AZ
  • NPI 1194771691

  General Practice

  NPD (past)

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1124858154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-825-7003",
            "fax_number": "623-825-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20470 N LAKE PLEASANT RD STE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853829708",
            "telephone_number": "623-825-7003",
            "fax_number": "623-825-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIVADENTAL LLC",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "480-363-2145",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Penaloza Mata
• Christina M Pence
• Peoria Care Homes LLC
• Peoria Dental Center Group, LLC
• Peoria Dental Smiles LLC
• Peoria Healthcare LLC
• Peoria Healthy Smiles LLC
• Peoria Mind and Wellness PLLC
• Peoria Oral & Implant Surgery PLLC
• Peoria Pain Physicians

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.