LITTLE REBELZ PEDIATRIC DENTISTRY
NPI 1174380836
Dentist - Pediatric Dentistry in Mesa, AZ

Active since February 29, 2024
6239 E BROWN RD STE 102, MESA, AZ 85205(480) 753-3711 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Little Rebelz Pediatric Dentistry NPPES

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

LITTLE REBELZ PEDIATRIC DENTISTRY (NPI 1174380836) is a healthcare organization registered as a pediatric dentistry in Mesa, Arizona and active in the NPI registry since February 2024. The organization lists Tyler Roberts, Dentist, as its authorized official.

NPPES Registry Identity

NPI1174380836
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARANA PEDIATRIC DENTISTRY, TYLER ROBERTS, DMD, PLLC
Location Address6239 E BROWN RD STE 102Mesa, AZ 85205-4933
Mailing Address2165 N DoranMesa, AZ 85203-2081 · (401) 536-5087
Organization SubpartNo
Authorized OfficialTyler RobertsDentist · (401) 536-5087
Enumeration DateFebruary 29, 2024
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1174380836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

6239 E BROWN RD STE 102, Mesa, AZ 85205

Other Names 1

Doing Business AsLittle Rebelz Pediatric Dentistry

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

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.

Dentist (Pediatric Dentistry)
6239 E BROWN RD STE 102
MESA, AZ 85205
Dentist (Pediatric Dentistry)
6239 E BROWN RD STE 102
MESA, AZ 85205

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 Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC's NPI number?

The NPI number for Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC is 1174380836. It was assigned to this organization in the NPPES registry on February 29, 2024. The provider is doing business as Little Rebelz Pediatric Dentistry.

Where is Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC located?

Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC is located at 6239 E Brown Rd Ste 102, Mesa, AZ 85205. The listed phone number is (480) 753-3711.

What is Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.