Arizona Dental Ventures Phoenix LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ARIZONA DENTAL VENTURES PHOENIX LLC

Practice address

3440 W Cactus Rd
Phoenix, AZ 85029-2238

Phone

(623) 688-3364

NPI assigned

May 8, 2024

Organization subpart

No

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

Authorized official

Name

Sadeer Daood, DDSNPI 1699845966

Title

Owner

Phone

(248) 228-6697

Specialties & licenses 1

Addresses

Other names 1

• Starlight Dental Group Doing business as

Practitioners 1

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

• Sadeer Osam Daood, DDS

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1699845966
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1356199038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292238",
            "telephone_number": "623-688-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W CACTUS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850292238",
            "telephone_number": "623-688-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA DENTAL VENTURES PHOENIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "DAOOD",
        "authorized_official_first_name": "SADEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-228-6697",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Starlight Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arizona Dental Services PLLC
• Arizona Dental Sleep Associates, LLC
• Arizona Dental Specialists
• Arizona Dental Specialty Group PLLC
• Arizona Dental Ventures Peoria LLC
• Arizona Denture Clinic Inc
• Arizona Department of Corrections
• Arizona Department of Health Services
• Arizona Department of Health Services, Office of Oral Health
• Arizona Developmental Psychology

• All providers in Phoenix, AZ
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.