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SUPER SMILES 4 KIDS CG, PLLC
NPI 1144901547
Dentist - General Practice in Casa Grande, AZ

Active since July 27, 2023
1295 E FLORENCE BLVD STE 4, CASA GRANDE, AZ 85122(520) 436-0843(520) 436-0105 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jul 27, 2023 (2 updates tracked since 2023).

About Super Smiles 4 Kids Cg, Pllc NPPES

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

SUPER SMILES 4 KIDS CG, PLLC (NPI 1144901547), doing business as Super Smiles 4 Families, is a healthcare organization registered as a general practice in Casa Grande, Arizona and active in the NPI registry since July 2023. The organization lists Dora Pesqueda, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1144901547
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSUPER SMILES 4 KIDS CG, PLLC
Location Address1295 E FLORENCE BLVD STE 4Casa Grande, AZ 85122-4299
Mailing Address1295 E Florence Blvd Ste 4Casa Grande, AZ 85122-4299 · (520) 436-0843 · Fax (520) 436-0105
Phone(520) 436-0843
Fax(520) 436-0105
Organization SubpartNo
Authorized OfficialDora PesquedaDirector Of Operations · (520) 436-0843
Enumeration DateJuly 27, 2023
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1144901547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1295 E FLORENCE BLVD STE 4, Casa Grande, AZ 85122
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Other Names 1

Doing Business AsSuper Smiles 4 Families

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

Accepted Insurance

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

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 Super Smiles 4 Kids Cg, PLLC's NPI number?

The NPI number for Super Smiles 4 Kids Cg, PLLC is 1144901547. It was assigned to this organization in the NPPES registry on July 27, 2023. The provider is doing business as Super Smiles 4 Families.

Where is Super Smiles 4 Kids Cg, PLLC located?

Super Smiles 4 Kids Cg, PLLC is located at 1295 E Florence Blvd Ste 4, Casa Grande, AZ 85122. The listed phone number is (520) 436-0843.

What is Super Smiles 4 Kids Cg, PLLC's specialty?

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

What insurance does Super Smiles 4 Kids Cg, PLLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc. and UnitedHealthcare list Super Smiles 4 Kids Cg, 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 Super Smiles 4 Kids Cg, PLLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.