1. Home
  2. Directory
  3. Arizona
  4. Peoria
  5. Clinic Center
  6. NPI Profile

MODERN DENTISTRY OF SUNCITY
NPI 1124549191
Clinic/Center - Dental in Peoria, AZ

Active since June 29, 2017
13660 N 94TH DR STE B1, PEORIA, AZ 85381(623) 977-2551 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 1, 2017 (2 updates tracked since 2017).

About Modern Dentistry Of Suncity NPPES

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

MODERN DENTISTRY OF SUNCITY (NPI 1124549191) is a healthcare organization registered as a dental in Peoria, Arizona and active in the NPI registry since June 2017. The organization lists Andrea J Botar, Owner, as its authorized official.

NPPES Registry Identity

NPI1124549191
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePLATINUM DENTAL SPA PLLC
Location Address13660 N 94TH DR STE B1Peoria, AZ 85381-4848
Mailing Address13660 N 94th Dr Ste B1Peoria, AZ 85381-4848 · (623) 977-2551
Phone(623) 977-2551
Organization SubpartNo
Authorized OfficialAndrea J BotarOwner · (623) 977-2551
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1124549191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
13660 N 94TH DR STE B1, Peoria, AZ 85381
Open in Google Maps ↗

Other Names 1

Doing Business AsModern Dentistry Of Suncity

Other Providers at the Same Location NPPES 2

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

TOOTH CORPS PLLC
Clinic/Center (Dental)
13660 N 94TH DR STE B1
PEORIA, AZ 85381
Maricopa County (623) 271-5745
DR. GARY MICHAEL GWILT D.M.D.
Dentist (General Practice)
13660 N 94TH DR STE B1
PEORIA, AZ 85381
Maricopa County (623) 200-5605

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 Platinum Dental Spa PLLC's NPI number?

The NPI number for Platinum Dental Spa PLLC is 1124549191. It was assigned to this organization in the NPPES registry on June 29, 2017. The provider is doing business as Modern Dentistry Of Suncity.

Where is Platinum Dental Spa PLLC located?

Platinum Dental Spa PLLC is located at 13660 N 94th Dr Ste B1, Peoria, AZ 85381. The listed phone number is (623) 977-2551.

What is Platinum Dental Spa PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Platinum Dental Spa PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.