Az Prime Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AZ PRIME DENTAL LLC

Doing business as

AZ Prime Dental

Practice address

14291 W Grand Ave Ste 102
Surprise, AZ 85374-4298

Phone

(623) 292-3231

Fax

(623) 288-6649

NPI assigned

Sep 11, 2025

Organization subpart

No

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

Authorized official

Name

Sargis Tovmasyan

Title

Owner

Phone

(818) 913-0202

Specialties & licenses 1

Addresses

Other names 1

• AZ Prime Dental Doing business as

Locations

Practitioners 1

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

• Sedrak Tovmasyan

  • General Practice Dentistry
  • Anthem, AZ
  • NPI 1366336406
  NPD (past)

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1154202539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14291 W GRAND AVE STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744298",
            "telephone_number": "623-292-3231",
            "fax_number": "623-288-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14291 W GRAND AVE STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744298",
            "telephone_number": "623-292-3231",
            "fax_number": "623-288-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PRIME DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "TOVMASYAN",
        "authorized_official_first_name": "SARGIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-913-0202"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ Prime Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.