PEDIATRIC DENTAL SPECIALISTS PPC NPI 1336146745

NPI Information

PEDIATRIC DENTAL SPECIALISTS, PPC is a pediatric dentistry dentist in Gilbert, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC DENTAL SPECIALISTS, PPC NPI is 1336146745. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2550 E GUADALUPE RD
SUITE 101
GILBERT, AZ
ZIP 85234-114
Phone: (480) 558-0777
Fax: (480) 558-0888

The provider's authorized official is Jonathan Lee Staker .
The authorized official title is Treasurer and has the following contact phone number (480) 558-0777.

The enumeration date for this NPI number is 6/30/2005 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:

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