AZ SPECIALTY DENTAL SERVICES LLC NPI 1447090279

NPI Information

  • NPI: 1447090279
  • Provider Name: AZ SPECIALTY DENTAL SERVICES, LLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 21300 N JOHN WAYNE PKWY STE 117
    MARICOPA, AZ
    ZIP 85139
  • Phone: (520) 316-6111

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NPI Details

AZ SPECIALTY DENTAL SERVICES, LLC is a pediatric dentistry dentist in Maricopa, 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. AZ SPECIALTY DENTAL SERVICES, LLC NPI is 1447090279. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21300 N JOHN WAYNE PKWY STE 117
MARICOPA, AZ
ZIP 85139-978
Phone: (520) 316-6111

The provider's authorized official is Charlotte Dasch .
The authorized official title is Direc Of Cred And Pr and has the following contact phone number (504) 638-0303.

The enumeration date for this NPI number is 5/29/2024 and was last updated on 5/29/2024.

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
11223P0221XDentistPediatric DentistryYes

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: 3/30/2025

NPI Synchronization or Removal

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