SAN TAN PEDIATRIC DENTAL
NPI 1265625552
Dentist - Pediatric Dentistry in Queen Creek, AZ

Active since August 21, 2007
2510 E HUNT HWY, SUITE #29, QUEEN CREEK, AZ 85243(480) 457-1693(480) 457-1321 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Tan Pediatric Dental NPPES

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

SAN TAN PEDIATRIC DENTAL (NPI 1265625552) is a healthcare organization registered as a pediatric dentistry in Queen Creek, Arizona and active in the NPI registry since August 2007. The organization lists Stephen J Montoya, Owner, as its authorized official.

NPPES Registry Identity

NPI1265625552
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSAN TAN PEDIATRIC DENTAL
Location Address2510 E HUNT HWY, SUITE #29Queen Creek, AZ 85243-5206
Mailing Address2510 E Hunt Hwy, Suite #29Queen Creek, AZ 85243-5206 · (480) 457-1693 · Fax (480) 457-1321
Fax(480) 457-1321
Organization SubpartNo
Authorized OfficialStephen J MontoyaOwner · (480) 457-1693
Enumeration DateAugust 21, 2007
Last NPPES UpdateOctober 9, 2008
NPI 1265625552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AZ · 7384
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.
2510 E HUNT HWY, Queen Creek, AZ 85243

Other Identifiers 1

Medicaid285009AZ

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)
2510 E HUNT HWY, STE. 29
QUEEN CREEK, AZ 85243
Dentist (Pediatric Dentistry)
2510 E HUNT HWY, STE. 29
QUEEN CREEK, AZ 85243

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 San Tan Pediatric Dental's NPI number?

The NPI number for San Tan Pediatric Dental is 1265625552. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is San Tan Pediatric Dental located?

San Tan Pediatric Dental is located at 2510 E Hunt Hwy Suite #29, Queen Creek, AZ 85243. The listed phone number is (480) 457-1693.

What is San Tan Pediatric Dental'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 San Tan Pediatric Dental was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.