SUPER SMILES MARICOPA PLLC NPI 1891556502

NPI Information

  • NPI: 1891556502
  • Provider Name: SUPER SMILES MARICOPA PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 21116 N JOHN WAYNE PKWY STE B7
    MARICOPA, AZ
    ZIP 85139
  • Phone: (520) 568-3828

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NPI Details

SUPER SMILES MARICOPA PLLC 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. SUPER SMILES MARICOPA PLLC NPI is 1891556502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21116 N JOHN WAYNE PKWY STE B7
MARICOPA, AZ
ZIP 85139-932
Phone: (520) 568-3828
Fax: (520) 568-0443

The provider's authorized official is Nikita Kuppanda .
The authorized official title is Dds/ Owner and has the following contact phone number (520) 568-3828.

The enumeration date for this NPI number is 1/19/2024 and was last updated on 1/19/2024.

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: 11/21/2025

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