Organization Active NPI

Glisten Dental Mesa Dba Sunview Dental

  • General Practice Dentistry
  • Mesa, AZ
National Provider Identifier
1689462467
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GLISTEN DENTAL MESA DBA SUNVIEW DENTAL
Practice address
633 N Gilbert Rd
Mesa, AZ 85203-6629
Phone
(602) 932-2555
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Authorized official

Name
Revan Dawood, DMDNPI 1124644612
Title
Owner
Phone
(623) 262-4372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

633 N Gilbert Rd
Mesa, AZ 85203-6629

Mailing address

633 N Gilbert Rd
Mesa, AZ 85203-6629
Phone (602) 932-2555

National Provider Directory

National Provider Directory

Locations

633 N Gilbert Rd
Mesa, AZ 85203
Phone (480) 898-3053

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789257600000",
    "number": "1689462467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036629",
            "telephone_number": "602-932-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 N GILBERT RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852036629",
            "telephone_number": "602-932-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLISTEN DENTAL MESA DBA SUNVIEW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2026-09-13",
        "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_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": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.