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SWEET PEADIATRIC DENTISTRY PLLC NPI 1366817967


NPI Information

NPI: 1366817967
Provider Name: SWEET PEADIATRIC DENTISTRY, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
15990 S RANCHO SAHUARITA BLVD STE 110
SAHUARITA, AZ
ZIP 85629
Phone: (253) 988-2828
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SWEET PEADIATRIC DENTISTRY, PLLC is a dental clinic center in Sahuarita, AZ. SWEET PEADIATRIC DENTISTRY, PLLC NPI is 1366817967. The provider is registered as an organization entity type.

The provider's business location address is:

15990 S RANCHO SAHUARITA BLVD STE 110
SAHUARITA, AZ
ZIP 85629-022
Phone: (253) 988-2828

The provider's authorized official is Nikki Dejbod .
The authorized official title is Dentist/owner and has the following contact phone number (253) 988-2828.

The enumeration date for this NPI number is 12/8/2015 and was last updated on 12/8/2015.


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
1261QD0000XClinic/CenterDental9171ARIZONAYes

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: 11/14/2023

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