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SUMMIT DENTAL SPECIALTY PLLC NPI 1871018887


NPI Information

NPI: 1871018887
Provider Name: SUMMIT DENTAL SPECIALTY PLLC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
15810 S 45TH ST STE 120
PHOENIX, AZ
ZIP 85048
Phone: (480) 893-3636
Get Directions

SUMMIT DENTAL SPECIALTY PLLC is an endodontics dentist in Phoenix, AZ. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. SUMMIT DENTAL SPECIALTY PLLC NPI is 1871018887. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15810 S 45TH ST STE 120
PHOENIX, AZ
ZIP 85048-695
Phone: (480) 893-3636
Fax: (480) 893-3635

The provider's authorized official is Shiela Dominguez .
The authorized official title is Managing Member and has the following contact phone number (480) 669-6419.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0106XDentistOral and Maxillofacial PathologyD06147ARIZONANo
21223E0200XDentistEndodonticsD9064ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.