Glisten Dental Scottsdale

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLISTEN DENTAL SCOTTSDALE

Practice address

10615 N Hayden Rd Unit C-104
Scottsdale, AZ 85260-5734

Phone

(480) 630-4446

NPI assigned

Sep 14, 2026

Last updated

Sep 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Revan Dawood, DMD

Title

Owner

Phone

(623) 262-4372

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1497666200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 N HAYDEN RD UNIT C-104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 N HAYDEN RD UNIT C-104",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605734",
            "telephone_number": "480-630-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLISTEN DENTAL SCOTTSDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-13",
        "status": "A",
        "authorized_official_last_name": "DAWOOD",
        "authorized_official_first_name": "REVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-262-4372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Scottsdale, AZ
• Providers in Scottsdale, 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 Sep 14, 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.