# HIGHBURY DENTAL MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HIGHBURY DENTAL MANAGEMENT, LLC
- **Other names:** Island Pediatric Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1962091454
- **Legal business name:** HIGHBURY DENTAL MANAGEMENT, LLC
- **Authorized official:** KUSHBOO KUMAR (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (916) 877-7450

## Contact information

- **Practice address:** 1425 W ELLIOT RD STE 101, GILBERT, AZ 85233-5141
- **Practice address phone:** (602) 536-7072
- **Mailing address:** 1425 W ELLIOT RD STE 101, GILBERT, AZ 85233-5141
- **Mailing address phone:** (602) 491-1818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2021
- **Last updated:** 06/11/2026