VAN DUKER PEDIATRIC PLLC NPI 1578331633

NPI Information

  • NPI: 1578331633
  • Provider Name: VAN DUKER PEDIATRIC PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 5505 S LINDSAY
    SUITE 105
    GILBERT, AZ
    ZIP 85298
  • Phone: (253) 549-8789

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NPI Details

VAN DUKER PEDIATRIC PLLC 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. VAN DUKER PEDIATRIC PLLC NPI is 1578331633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5505 S LINDSAY
SUITE 105
GILBERT, AZ
ZIP 85298-529
Phone: (253) 549-8789

The provider's authorized official is Mark Van Duker .
The authorized official title is Owner and has the following contact phone number (253) 549-8789.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 12/18/2023.

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: 11/21/2025

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