MESA PEDIATRIC DENTISTRY
NPI 1407344567
Dentist - Pediatric Dentistry in Mesa, AZ

Active since April 24, 2018
6239 E BROWN RD STE 102, MESA, AZ 85205(480) 396-3660 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mesa Pediatric Dentistry NPPES

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

MESA PEDIATRIC DENTISTRY (NPI 1407344567) is a healthcare organization registered as a pediatric dentistry in Mesa, Arizona and active in the NPI registry since April 2018. The organization lists Daniel Ponce, Owner, as its authorized official.

NPPES Registry Identity

NPI1407344567
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS DENTAL GROUP PLLC
Location Address6239 E BROWN RD STE 102Mesa, AZ 85205-4933
Mailing Address6025 N 27th Ave Ste 25Phoenix, AZ 85017-1765 · (602) 595-9199
Organization SubpartNo
Authorized OfficialDaniel PonceOwner · (646) 234-6578
Enumeration DateApril 24, 2018
NPI 1407344567 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 AsMesa 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 Kids Dental Group PLLC's NPI number?

The NPI number for Kids Dental Group PLLC is 1407344567. It was assigned to this organization in the NPPES registry on April 24, 2018. The provider is doing business as Mesa Pediatric Dentistry.

Where is Kids Dental Group PLLC located?

Kids Dental Group PLLC is located at 6239 E Brown Rd Ste 102, Mesa, AZ 85205. The listed phone number is (480) 396-3660.

What is Kids Dental Group 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 Kids Dental Group PLLC was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.