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Age Defying Dentistry

Dentist in Queen Creek, AZ · enumerated 2010 · authorized official David Velasco, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962721001

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Registry record

Entity type Organization (Type 2)
Legal business name Age Defying Dentistry
Practice address 21321 East Ocotillo Rd Bldg M, Ste 130, Queen Creek, AZ, 85142
Enumeration date May 28, 2010
Last updated in NPPES May 28, 2010

Taxonomy & classification

122300000X Dentist Dental Providers · License AZ4044 (AZ) Primary

Authorized official

Name David Velasco
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Age Defying Dentistry?
Age Defying Dentistry is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-28.