Valencia Modern Dentistry, LLP

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALENCIA MODERN DENTISTRY, LLP

Practice address

19591 W. Indian School Rd
Suite 101
Buckeye, AZ 85396

Phone

(602) 325-5436

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Thomas Montgomery

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1811737141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19591 W. INDIAN SCHOOL RD",
            "address_2": "SUITE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85396",
            "telephone_number": "602-325-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA MODERN DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twisted Therapeutics LLC
• Angelica Samantha Uribe, RN
• Richa Vakil, DPT
• Raquel Valdez, LAC
• Valencia Modern Dentistry, LLP
• Valley Chiropractic and Rehab Clinic PLLC
• Marita Vandernaalt
• Maria Varga
• Rosa Vega
• Veritas Dental, PLLC

• General Practice Dentistry in Buckeye, AZ
• Providers in Buckeye, 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 May 24, 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.