Nba Dental Group, PC

Primary specialty

DentistTaxonomy code 122300000X

License

D5981 Issued in AZ

Legal business name

NBA DENTAL GROUP, PC

Practice address

4102 N 24TH St Ste B2
Phoenix, AZ 85016-6283

Phone

(602) 956-2024

Fax

(602) 956-2209

NPI assigned

Feb 8, 2008

Organization subpart

No

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

Authorized official

Name

George Ayoub, DDSNPI 1518910066

Title

Owner

Phone

(602) 956-2024

Specialties & licenses 1

Addresses

Other names 1

• Wild West Children's Dentistry Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Kids Dental 2 P.C.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1528392891
  NPPES parent name

Practitioners 5

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

• George Raymond Ayoub, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1518910066
  NPD Authorized official
• Golinaz M Asadi, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1740249127
  NPD (past)
• Joseph Nielsen, DDS

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1578527818
  NPD (past)
• Jad William Tawil, DMD

  • Pediatric Dentistry
  • Chandler, AZ
  • NPI 1932798055
  NPD (past)
• Jay R Ayass, DDS

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1487614822
  NPD (past)

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1740468990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 N 24TH ST STE B2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166283",
            "telephone_number": "602-956-2024",
            "fax_number": "602-956-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 N 24TH ST STE B2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166283",
            "telephone_number": "602-956-2024",
            "fax_number": "602-956-2209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3048 E Baseline Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852047287",
            "country_code": "US",
            "telephone_number": "480-813-3423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9515 W Camelback Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850371364",
            "country_code": "US",
            "telephone_number": "623-872-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NBA DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "AYOUB",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-956-2024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild West Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Nazareno
• Ivette Nazario, R.N.
• Mishel Nazarko, PHARMD
• Hermine Nazikian, APRN
• Khaja Nazimuddin, PHARMACIST
• Ncsrv, LLC
• Julius Ndahiro
• Esther Ndegwa-Wanje, NURSE PRACTITIONER
• Evelyne Ndera
• Anthony Wanjohi Nderitu, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.