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PEDIATRIC DENTAL SPECIALISTS, PPC
NPI 1336146745
Dentist - Pediatric Dentistry in Gilbert, AZ

Active since June 30, 2005
2550 E GUADALUPE RD, SUITE 101, GILBERT, AZ 85234(480) 558-0777(480) 558-0888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Dental Specialists, Ppc NPPES

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

PEDIATRIC DENTAL SPECIALISTS, PPC (NPI 1336146745) is a healthcare organization registered as a pediatric dentistry in Gilbert, Arizona and active in the NPI registry since June 2005. The organization lists Jonathan Lee Staker, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1336146745
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALISTS, PPC
Location Address2550 E GUADALUPE RD, SUITE 101Gilbert, AZ 85234-5114
Mailing Address2550 E Guadalupe Rd, Suite 101Gilbert, AZ 85234-5114 · (480) 558-0777 · Fax (480) 558-0888
Phone(480) 558-0777
Fax(480) 558-0888
Organization SubpartNo
Authorized OfficialJonathan Lee StakerTreasurer · (480) 558-0777
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1336146745 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.
2550 E GUADALUPE RD, Gilbert, AZ 85234
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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 18

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

ROBIN LAKS M.D.
Pediatrics
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 214-2300
JAMES SMITH M.D.
Pediatrics
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 214-2300
MICHELLE M SZYMANOWSKI WHNP-BC
Nurse Practitioner (Women's Health)
2550 E GUADALUPE RD, SUITE 109
GILBERT, AZ 85234
Maricopa County (480) 505-4475
MR. STEVEN R REEDER MD
Family Medicine
2550 E GUADALUPE RD, #107
GILBERT, AZ 85234
Maricopa County (480) 964-5800
STEPHANIE C MAYES MD
Obstetrics & Gynecology
2550 E GUADALUPE RD, SUITE 109
GILBERT, AZ 85234
Maricopa County (480) 505-4475
WILLIAM B. GAUSE P.A.-C
Physician Assistant (Medical)
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
MRS. STEFANIE ANN LAYSTROM PA-C
Physician Assistant
2550 E GUADALUPE RD, STE. 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
THOMAS COX FARNSWORTH PT, MPT
Physical Therapist
2550 E GUADALUPE RD, SUITE 111
GILBERT, AZ 85234
Maricopa County (480) 633-0666

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 Pediatric Dental Specialists, Ppc's NPI number?

The NPI number for Pediatric Dental Specialists, Ppc is 1336146745. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Pediatric Dental Specialists, Ppc located?

Pediatric Dental Specialists, Ppc is located at 2550 E Guadalupe Rd Suite 101, Gilbert, AZ 85234. The listed phone number is (480) 558-0777.

What is Pediatric Dental Specialists, Ppc'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 Pediatric Dental Specialists, Ppc 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.