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SOUTHERN DENTAL
NPI 1447780135
Dentist in Phoenix, AZ

Active since June 14, 2017
3320 W SOUTHERN AVE #111, PHOENIX, AZ 85041(602) 305-8800 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Dental NPPES

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

SOUTHERN DENTAL (NPI 1447780135) is a healthcare organization registered as a dentist in Phoenix, Arizona and active in the NPI registry since June 2017. The organization lists Mark Wilkes Morris, Sole Owner/general Dentist, as its authorized official.

NPPES Registry Identity

NPI1447780135
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMESA DENTAL ARIZONA LLC
Location Address3320 W SOUTHERN AVE #111Phoenix, AZ 85041
Mailing Address1 East Washington St Ste 500Phoenix, AZ 85004 · (480) 696-1095
Phone(602) 305-8800
Organization SubpartYes
Authorized OfficialMark Wilkes MorrisSole Owner/general Dentist · (312) 339-0588
Enumeration DateJune 14, 2017
✔ NPI 1447780135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 9690
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3320 W SOUTHERN AVE #111, Phoenix, AZ 85041
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Other Names 1

Other NameSouthern Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Mesa Dental Arizona LLC's NPI number?

The NPI number for Mesa Dental Arizona LLC is 1447780135. It was assigned to this organization in the NPPES registry on June 14, 2017. The provider is also known as Southern Dental.

Where is Mesa Dental Arizona LLC located?

Mesa Dental Arizona LLC is located at 3320 W Southern Ave #111, Phoenix, AZ 85041. The listed phone number is (602) 305-8800.

What is Mesa Dental Arizona LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mesa Dental Arizona LLC accept?

Health plans from UnitedHealthcare list Mesa Dental Arizona LLC 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 Mesa Dental Arizona LLC was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.