SOUTHERN VISTA DENTAL CARE
NPI 1023102183
Dentist in Mesa, AZ

Active since October 03, 2006
1801 E SOUTHERN AVE, SUITE 103, MESA, AZ 85204(480) 892-9000(480) 926-0545 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Vista Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN VISTA DENTAL CARE (NPI 1023102183) is a healthcare organization registered as a dentist in Mesa, Arizona and active in the NPI registry since October 2006. The organization lists Elwynn Chad Caffall, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1023102183
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business Name1801 SOUTHERN VISTA DENTAL CARE
Location Address1801 E SOUTHERN AVE, SUITE 103Mesa, AZ 85204-5258
Mailing Address1801 E Southern Ave, Suite 103Mesa, AZ 85204-5258 · (480) 892-9000 · Fax (480) 926-0545
Fax(480) 926-0545
Organization SubpartNo
Authorized OfficialElwynn Chad CaffallDirect Owner · (480) 892-9000
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1023102183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in AZ · 6591 Licensed in AZ · 6283 Licensed in AZ · 2561
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1801 E SOUTHERN AVE, Mesa, AZ 85204

Other Names 1

Doing Business AsSouthern Vista Dental Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1801 E SOUTHERN AVE, SUITE 101
MESA, AZ 85204
Dentist (General Practice)
1801 E SOUTHERN AVE
MESA, AZ 85204
Dentist
1801 E SOUTHERN AVE, SUITE 101
MESA, AZ 85204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1801 Southern Vista Dental Care's NPI number?

The NPI number for 1801 Southern Vista Dental Care is 1023102183. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Southern Vista Dental Care.

Where is 1801 Southern Vista Dental Care located?

1801 Southern Vista Dental Care is located at 1801 E Southern Ave Suite 103, Mesa, AZ 85204. The listed phone number is (480) 892-9000.

What is 1801 Southern Vista Dental Care's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for 1801 Southern Vista Dental Care was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.