PICASSO DENTAL AZ NPI 1326110024

NPI Information

  • NPI: 1326110024
  • Provider Name: PICASSO DENTAL AZ
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: MARK S. ANTHONY, DDS
  • Address: 1259 N POWER RD
    SUITE 2
    MESA, AZ
    ZIP 85205
  • Phone: (480) 832-4567

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NPI Details

PICASSO DENTAL AZ is a general practice dentist in Mesa, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. PICASSO DENTAL AZ NPI is 1326110024. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Mark S. Anthony, Dds.

The provider's business location address is:

1259 N POWER RD
SUITE 2
MESA, AZ
ZIP 85205-909
Phone: (480) 832-4567
Fax: (480) 854-3869

The provider's authorized official is Mark S Anthony .
The authorized official title is Owner Dentist and has the following contact phone number (480) 832-4567.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 10/13/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice3908ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1973102OTHERARIZONAUNITED CONCORDIA

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: 11/21/2025

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