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CHANDLER PEDIATRIC DENTAL
NPI 1417176199
Dentist - Pediatric Dentistry in Chandler, AZ

Active since April 24, 2007
2095 W FRYE RD STE 2, CHANDLER, AZ 85224(480) 855-8315(480) 855-8316 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chandler Pediatric Dental NPPES

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

CHANDLER PEDIATRIC DENTAL (NPI 1417176199) is a healthcare organization registered as a pediatric dentistry in Chandler, Arizona and active in the NPI registry since April 2007. The organization lists Robert William Scoresby, Owner, as its authorized official.

NPPES Registry Identity

NPI1417176199
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSCORESBY PEDIATRIC DENTAL
Location Address2095 W FRYE RD STE 2Chandler, AZ 85224-6280
Mailing Address655 S Dobson Rd, Building B Suite 214Chandler, AZ 85224-5667 · (480) 855-1315 · Fax (480) 855-8316
Phone(480) 855-8315
Fax(480) 855-8316
Organization SubpartNo
Authorized OfficialRobert William ScoresbyOwner · (480) 855-8315
Enumeration DateApril 24, 2007
Last NPPES UpdateFebruary 19, 2018
✔ NPI 1417176199 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 · D7962
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.

2095 W FRYE RD STE 2, Chandler, AZ 85224
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Other Names 1

Doing Business AsChandler Pediatric Dental

Other Identifiers 2

Medicaid814503AZ
Medicaid535113AZ

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

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 Scoresby Pediatric Dental's NPI number?

The NPI number for Scoresby Pediatric Dental is 1417176199. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Chandler Pediatric Dental.

Where is Scoresby Pediatric Dental located?

Scoresby Pediatric Dental is located at 2095 W Frye Rd Ste 2, Chandler, AZ 85224. The listed phone number is (480) 855-8315.

What is Scoresby 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 Scoresby Pediatric Dental was last updated on February 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.