MOSAIC DENTISTRY PC NPI 1699928523

NPI Information

  • NPI: 1699928523
  • Provider Name: MOSAIC DENTISTRY PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 290 W CHANDLER HEIGHTS RD
    SUITE 3
    CHANDLER, AZ
    ZIP 85248
  • Phone: (480) 883-0222

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NPI Details

MOSAIC DENTISTRY PC is a general practice dentist in Chandler, 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. MOSAIC DENTISTRY PC NPI is 1699928523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 W CHANDLER HEIGHTS RD
SUITE 3
CHANDLER, AZ
ZIP 85248-055
Phone: (480) 883-0222
Fax: (480) 883-0332

The provider's authorized official is Samuel Peter Dominick .
The authorized official title is President/manager and has the following contact phone number (480) 821-8284.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 10/23/2008.

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 Practice5248ARIZONAYes

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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