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SURPRISE PEDIATRIC DENTISTRY, PC
NPI 1114462330
Clinic/Center - Dental in Surprise, AZ

Active since December 23, 2016
15331 W BELL RD, SUITE #112, SURPRISE, AZ 85374(602) 730-6481(602) 730-6482 Get Directions Write a Review

NPPES record last updated: December 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surprise Pediatric Dentistry, Pc NPPES

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

SURPRISE PEDIATRIC DENTISTRY, PC (NPI 1114462330) is a healthcare organization registered as a dental in Surprise, Arizona and active in the NPI registry since December 2016. The organization lists Mathew O Jensen, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1114462330
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSURPRISE PEDIATRIC DENTISTRY, PC
Location Address15331 W BELL RD, SUITE #112Surprise, AZ 85374-4102
Mailing Address15331 W Bell Rd, Suite #112Surprise, AZ 85374-4102 · (602) 730-6481 · Fax (602) 730-6482
Phone(602) 730-6481
Fax(602) 730-6482
Organization SubpartNo
Authorized OfficialMathew O JensenDentist/owner · (801) 656-7978
Enumeration DateDecember 23, 2016
✔ NPI 1114462330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AZ · D008930
15331 W BELL RD, Surprise, AZ 85374
Open in Google Maps ↗

Other Identifiers 1

Medicaid200173AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company, Inc..Insurance ›

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.

BATTLE BELLES COMMUNITY BEHAVIORAL HEALTH SERVICES
Community/Behavioral Health
15331 W BELL RD
SURPRISE, AZ 85374
Maricopa County (630) 709-6896
MS. MOLLY FAITH COOK LCSW, LISAC
Social Worker
15331 W BELL RD, STE 219
SURPRISE, AZ 85374
Maricopa County (928) 231-9635
TURNING POINT COUNSELING & RECOVERY TREATMENT CENTER
Substance Abuse Rehabilitation Facility
15331 W BELL RD, SUITE 212-19
SURPRISE, AZ 85374
Maricopa County (623) 688-1279

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 Surprise Pediatric Dentistry, PC's NPI number?

The NPI number for Surprise Pediatric Dentistry, PC is 1114462330. It was assigned to this organization in the NPPES registry on December 23, 2016.

Where is Surprise Pediatric Dentistry, PC located?

Surprise Pediatric Dentistry, PC is located at 15331 W Bell Rd Suite #112, Surprise, AZ 85374. The listed phone number is (602) 730-6481.

What is Surprise Pediatric Dentistry, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Surprise Pediatric Dentistry, PC accept?

Health plans from DentaQuest Insurance Company, Inc. list Surprise Pediatric Dentistry, PC 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 Surprise Pediatric Dentistry, PC was last updated on December 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.