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DENTAL SPECIALTY GROUP INC
NPI 1063005049
Dentist - Periodontics in Mesa, AZ

Active since February 19, 2021
4435 E BROADWAY RD STE 7, MESA, AZ 85206(480) 471-8480(480) 654-0705 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 26, 2021, Feb 19, 2021 (2 updates tracked since 2021).

About Dental Specialty Group Inc NPPES

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

DENTAL SPECIALTY GROUP INC (NPI 1063005049) is a healthcare organization registered as a periodontics in Mesa, Arizona and active in the NPI registry since February 2021. The organization lists Bennett Mankin, President, as its authorized official.

NPPES Registry Identity

NPI1063005049
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDENTAL SPECIALTY GROUP INC
Location Address4435 E BROADWAY RD STE 7Mesa, AZ 85206-2012
Mailing Address3658 E Morrison Ranch PkwyGilbert, AZ 85296-1816 · (480) 239-2088
Phone(480) 471-8480
Fax(480) 654-0705
Organization SubpartNo
Authorized OfficialBennett MankinPresident · (480) 239-2088
Enumeration DateFebruary 19, 2021
Last NPPES UpdateFebruary 26, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
✔ NPI 1063005049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
4435 E BROADWAY RD STE 7, Mesa, AZ 85206
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Dental Specialty Group Inc's NPI number?

The NPI number for Dental Specialty Group Inc is 1063005049. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Dental Specialty Group Inc located?

Dental Specialty Group Inc is located at 4435 E Broadway Rd Ste 7, Mesa, AZ 85206. The listed phone number is (480) 471-8480.

What is Dental Specialty Group Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dental Specialty Group Inc was last updated on February 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.