Arlene Tagalicud-Benitez, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D008770 Issued in AZ

Practice address

20280 N 59TH Ave Ste 104
Glendale, AZ 85308-6846

Phone

(623) 566-0022

NPI assigned

Nov 10, 2011

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• An Elegant Smile Dentistry

  • Dentist
  • Peoria, AZ
  • NPI 1932518594
  NPD (past)
• Promenade Dental Group, LLP

  dba Promenade Dental Group

  • General Practice Dentistry
  • Tolleson, AZ
  • NPI 1285798462
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1396022869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14155 N 83RD AVE",
            "address_2": "STE 113",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815655",
            "telephone_number": "623-486-5222",
            "fax_number": "623-486-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20280 N 59TH AVE STE 104",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086846",
            "telephone_number": "623-566-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGALICUD-BENITEZ",
        "first_name": "ARLENE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6360",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008770",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Ewa Szafarowicz
• Joseph Szulczewski, MA, LPC, LISAC
• T&H Health and Wellness Center LLC
• Joseph Taddonio, O.D.
• Courtney Tafoya, PMHNP-BC
• Rachel Tague, RDH
• Tailored 2 U Psychiatry, PLLC (Margarita Madrid DBA Tailored 2 U Pscyhiatry, PLLC)
• Jessica Lynn Taintor, PT, DPT
• Taking Root Counseling LLC
• Olysia N Takla, DMD

• Dentist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.