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AZ SDS III LLC
NPI 1184500852
Dentist - Pediatric Dentistry in Phoenix, AZ

Active since August 15, 2025
4232 E CHANDLER BLVD STE 10, PHOENIX, AZ 85048(480) 759-1119 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Az Sds Iii Llc NPPES

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

AZ SDS III LLC (NPI 1184500852) is a healthcare organization registered as a pediatric dentistry in Phoenix, Arizona and active in the NPI registry since August 2025. The organization lists Charlotte Dasch, Sr Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1184500852
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAZ SDS III LLC
Location Address4232 E CHANDLER BLVD STE 10Phoenix, AZ 85048-8879
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(480) 759-1119
Organization SubpartNo
Authorized OfficialCharlotte DaschSr Director Of Credentialing · (504) 638-0303
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1184500852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
4232 E CHANDLER BLVD STE 10, Phoenix, AZ 85048
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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

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.

AZ SDS III LLC
Dentist (Pediatric Dentistry)
4232 E CHANDLER BLVD STE 10
PHOENIX, AZ 85048
Maricopa County (480) 759-1119
DR. GREGORY D OLSEN D.D.S., M.S.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
4232 E CHANDLER BLVD STE 10
PHOENIX, AZ 85048
Maricopa County (480) 759-1119
AZ SPECIALTY DENTAL SERVICES, LLC
Dentist (Pediatric Dentistry)
4232 E CHANDLER BLVD STE 10
PHOENIX, AZ 85048
Maricopa County (480) 759-1119

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 Az Sds III LLC's NPI number?

The NPI number for Az Sds III LLC is 1184500852. It was assigned to this organization in the NPPES registry on August 15, 2025.

Where is Az Sds III LLC located?

Az Sds III LLC is located at 4232 E Chandler Blvd Ste 10, Phoenix, AZ 85048. The listed phone number is (480) 759-1119.

What is Az Sds III LLC'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 Az Sds III LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.