SOUTH MESA DENTAL PARTNERS
NPI 1053693531
Dentist - General Practice in Mesa, AZ

Q: What is South Mesa Dental Partners's NPI number?

The NPI number for South Mesa Dental Partners is 1053693531. It was assigned to this organization in the NPPES registry on September 12, 2011. The provider is doing business as Comfort Dental West Mesa.

Q: What is South Mesa Dental Partners's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 12, 2011

1130 S. COUNTRY CLUB DR, STE 101, MESA, AZ 85210(480) 461-9866(480) 461-9861 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About South Mesa Dental Partners NPPES

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

SOUTH MESA DENTAL PARTNERS (NPI 1053693531), doing business as Comfort Dental West Mesa, is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since September 2011. The organization lists Tad Brandon Olsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1053693531

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTH MESA DENTAL PARTNERS

Location Address1130 S. COUNTRY CLUB DR, STE 101Mesa, AZ 85210-4639

Mailing Address1130 S. Country Club Dr, Ste 101Mesa, AZ 85210-4639 · (480) 461-9866 · Fax (480) 461-9861

Phone(480) 461-9866

Fax(480) 461-9861

Organization SubpartNo

Authorized OfficialTad Brandon OlsenOwner · (480) 461-9866

Enumeration DateSeptember 12, 2011

Last NPPES UpdateJanuary 14, 2026

NPPES CertifiedJanuary 14, 2026

✔ NPI 1053693531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in AZ · D008299

Definition

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.

1130 S. COUNTRY CLUB DR, Mesa, AZ 85210

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Other Names 2

Doing Business AsComfort Dental West Mesa

Doing Business AsSouth Mesa Dental Partners

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 SINGLE SPECIALTY GROUP

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 South Mesa Dental Partners's NPI number?

The NPI number for South Mesa Dental Partners is 1053693531. It was assigned to this organization in the NPPES registry on September 12, 2011. The provider is doing business as Comfort Dental West Mesa.

Where is South Mesa Dental Partners located?

South Mesa Dental Partners is located at 1130 S. Country Club Dr Ste 101, Mesa, AZ 85210. The listed phone number is (480) 461-9866.

What is South Mesa Dental Partners's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South Mesa Dental Partners was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.