Healthcare Provider Details

I. General information

NPI: 1801714639
Provider Name (Legal Business Name): DEVIN DILYOU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4041 N CENTRAL AVE BLDG C
PHOENIX AZ
85012-3313
US

IV. Provider business mailing address

10401 N 33RD AVE APT 509
PHOENIX AZ
85051-9551
US

V. Phone/Fax

Practice location:
  • Phone: 602-279-5262
  • Fax:
Mailing address:
  • Phone: 602-510-9162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberH011732
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: