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SURPRISE MODERN DENTISTRY LLP
NPI 1376200261
Dentist - General Practice in Surprise, AZ

Active since November 26, 2021
13733 N PRASADA PKWY STE 108, SURPRISE, AZ 85388(623) 777-3329(623) 900-2676 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surprise Modern Dentistry Llp NPPES

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

SURPRISE MODERN DENTISTRY LLP (NPI 1376200261), doing business as Surprise Modern Dentistry, is a healthcare organization registered as a general practice in Surprise, Arizona and active in the NPI registry since November 2021. The organization lists Joshua J Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1376200261
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSURPRISE MODERN DENTISTRY LLP
Location Address13733 N PRASADA PKWY STE 108Surprise, AZ 85388-8007
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8892 · Fax (303) 952-0892
Phone(623) 777-3329
Fax(623) 900-2676
Organization SubpartNo
Authorized OfficialJoshua J ShawOwner · (623) 777-3329
Enumeration DateNovember 26, 2021
NPPES CertifiedNovember 26, 2021
✔ NPI 1376200261 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.
13733 N PRASADA PKWY STE 108, Surprise, AZ 85388
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Other Names 1

Doing Business AsSurprise Modern Dentistry

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.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. PRASHAN SHANTHAKUMAR DDS, MS
Dentist (Periodontics)
13733 N PRASADA PKWY STE 108
SURPRISE, AZ 85388
Maricopa County (623) 777-3329
ALINA HUSSEIN JAAFAR DMD
Dentist (General Practice)
13733 N PRASADA PKWY STE 108
SURPRISE, AZ 85388
Maricopa County (313) 445-0034
DANIEL MENDEZ
Dentist
13733 N PRASADA PKWY STE 108
SURPRISE, AZ 85388
Maricopa County (623) 777-3329
DR. SOPHIE REJEANNE ADAM D.M.D.
Dentist
13733 N PRASADA PKWY STE 108
SURPRISE, AZ 85388
Maricopa County (623) 777-3329
STEPHEN HUANG DDS
Dentist (General Practice)
13733 N PRASADA PKWY STE 108
SURPRISE, AZ 85388
Maricopa County (623) 777-3329

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 Surprise Modern Dentistry LLP's NPI number?

The NPI number for Surprise Modern Dentistry LLP is 1376200261. It was assigned to this organization in the NPPES registry on November 26, 2021. The provider is doing business as Surprise Modern Dentistry.

Where is Surprise Modern Dentistry LLP located?

Surprise Modern Dentistry LLP is located at 13733 N Prasada Pkwy Ste 108, Surprise, AZ 85388. The listed phone number is (623) 777-3329.

What is Surprise Modern Dentistry LLP's specialty?

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

What insurance does Surprise Modern Dentistry LLP accept?

Health plans from Ambetter from Arizona Complete Health list Surprise Modern Dentistry LLP 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 Surprise Modern Dentistry LLP was last updated on November 26, 2021. 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.