Healthcare Provider Details

I. General information

NPI: 1487517066
Provider Name (Legal Business Name): IMPLANT AND PERIODONTICS SOLUTIONS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13920 W CAMINO DEL SOL STE 11
SUN CITY WEST AZ
85375-4438
US

IV. Provider business mailing address

13920 W CAMINO DEL SOL STE 11
SUN CITY WEST AZ
85375-4438
US

V. Phone/Fax

Practice location:
  • Phone: 623-556-5442
  • Fax:
Mailing address:
  • Phone: 623-556-5442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. OWEN V TRINH
Title or Position: PROVIDER/OWNER
Credential: DMD
Phone: 469-927-6287