SURPRISE PEDIATRIC DENTISTRY, PC is a dental clinic center in Surprise, AZ. SURPRISE PEDIATRIC DENTISTRY, PC NPI is 1114462330. The provider is registered as an organization entity type.
The provider's business location address is:
15331 W BELL RD
SUITE #112
SURPRISE, AZ
ZIP 85374-102
Phone: (602) 730-6481
Fax: (602) 730-6482
The provider's authorized official is Mathew O Jensen .
The authorized official title is Dentist/owner and has the following contact phone number (801) 656-7978.
The CLIA number assigned to this NPI record is 03D2003118 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 12/23/2016 and was last updated on 12/23/2016.