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DESERT STATE DENTAL ANESTHESIA, LLC
NPI 1407994676
Dentist - Dentist Anesthesiologist in Mesa, AZ

Active since February 01, 2007
625 W SOUTHERN AVE STE E-145, MESA, AZ 85210(480) 332-5541(866) 814-1886 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert State Dental Anesthesia, Llc NPPES

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

DESERT STATE DENTAL ANESTHESIA, LLC (NPI 1407994676) is a healthcare organization registered as a dentist anesthesiologist in Mesa, Arizona and active in the NPI registry since February 2007. The organization lists Reuben Nelson Turner, Manager, as its authorized official.

NPPES Registry Identity

NPI1407994676
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameDESERT STATE DENTAL ANESTHESIA, LLC
Location Address625 W SOUTHERN AVE STE E-145Mesa, AZ 85210-5030
Mailing Address625 W Southern Ave Ste E-145Mesa, AZ 85210-5030 · (480) 332-5541 · Fax (866) 814-1886
Phone(480) 332-5541
Fax(866) 814-1886
Organization SubpartNo
Authorized OfficialReuben Nelson TurnerManager · (480) 332-5541
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 29, 2016
✔ NPI 1407994676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
625 W SOUTHERN AVE STE E-145, Mesa, AZ 85210
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Other Identifiers 1

Medicaid884644AZ

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 3

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

SPENCER K. WILDE DDS
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 710-8081
DR. MATTHEW RYAN WALL D.D.S.
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (602) 759-2131
BRADLEY L FARR DDS
Dentist (Dentist Anesthesiologist)
625 W SOUTHERN AVE STE E-145
MESA, AZ 85210
Maricopa County (480) 332-0577

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 Desert State Dental Anesthesia, LLC's NPI number?

The NPI number for Desert State Dental Anesthesia, LLC is 1407994676. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Desert State Dental Anesthesia, LLC located?

Desert State Dental Anesthesia, LLC is located at 625 W Southern Ave Ste E-145, Mesa, AZ 85210. The listed phone number is (480) 332-5541.

What is Desert State Dental Anesthesia, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Desert State Dental Anesthesia, LLC was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.