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KIDIATRIC DENTISTRY, PLLC
NPI 1073895629
Dentist - Pediatric Dentistry in Gilbert, AZ

Active since September 09, 2011
913 E WARNER RD, GILBERT, AZ 85296(602) 418-1599 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kidiatric Dentistry, Pllc NPPES

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

KIDIATRIC DENTISTRY, PLLC (NPI 1073895629) is a healthcare organization registered as a pediatric dentistry in Gilbert, Arizona and active in the NPI registry since September 2011. The organization lists Walter Villanueva, Pediatric Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1073895629
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDIATRIC DENTISTRY, PLLC
Location Address913 E WARNER RDGilbert, AZ 85296-3078
Mailing Address913 E Warner RdGilbert, AZ 85296-3078 · (602) 418-1599
Phone(602) 418-1599
Organization SubpartNo
Authorized OfficialWalter VillanuevaPediatric Dentist/owner · (602) 418-1592
Enumeration DateSeptember 9, 2011
✔ NPI 1073895629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AZ · D7782
Definition
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.
913 E WARNER RD, Gilbert, AZ 85296
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Other Names 1

Doing Business AsKidiatric Dentistry, Pllc

Other Identifiers 1

Medicaid436424AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DR. WALTER VILLANUEVA DDS
Dentist (Pediatric Dentistry)
913 E WARNER RD
GILBERT, AZ 85296
Maricopa County (480) 398-1372

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 Kidiatric Dentistry, PLLC's NPI number?

The NPI number for Kidiatric Dentistry, PLLC is 1073895629. It was assigned to this organization in the NPPES registry on September 9, 2011.

Where is Kidiatric Dentistry, PLLC located?

Kidiatric Dentistry, PLLC is located at 913 E Warner Rd, Gilbert, AZ 85296. The listed phone number is (602) 418-1599.

What is Kidiatric Dentistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Kidiatric Dentistry, PLLC accept?

Health plans from Ambetter from Arizona Complete Health and DentaQuest Insurance Company, Inc. list Kidiatric Dentistry, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidiatric Dentistry, PLLC was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.