MESA MODERN DENTISTRY
NPI 1477821460
Dentist - General Practice in Mesa, AZ

Active since December 06, 2011
3440 E BASELINE RD STE 106, MESA, AZ 85204(480) 926-2350(480) 926-2366 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mesa Modern Dentistry NPPES

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

MESA MODERN DENTISTRY (NPI 1477821460) is a healthcare organization registered as a general practice in Mesa, Arizona and active in the NPI registry since December 2011. The organization lists Carl C Fairchild, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1477821460
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMESA MODERN DENTISTRY, LLP
Location Address3440 E BASELINE RD STE 106Mesa, AZ 85204-7247
Mailing Address2860 Michelle Fl 2Irvine, CA 92606-1008 · (714) 368-2077 · Fax (714) 368-2092
Fax(480) 926-2366
Organization SubpartNo
Authorized OfficialCarl C FairchildOwner Doctor · (480) 926-2350
Enumeration DateDecember 6, 2011
NPI 1477821460 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.
3440 E BASELINE RD STE 106, Mesa, AZ 85204

Other Names 1

Doing Business AsMesa 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

Other Providers at the Same Location NPPES 10

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

Dentist
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist (General Practice)
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist (General Practice)
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist (General Practice)
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist (General Practice)
3440 E BASELINE RD STE 106
MESA, AZ 85204
Dentist (General Practice)
3440 E BASELINE RD STE 106
MESA, AZ 85204

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 Modern Dentistry, LLP's NPI number?

The NPI number for Mesa Modern Dentistry, LLP is 1477821460. It was assigned to this organization in the NPPES registry on December 6, 2011. The provider is doing business as Mesa Modern Dentistry.

Where is Mesa Modern Dentistry, LLP located?

Mesa Modern Dentistry, LLP is located at 3440 E Baseline Rd Ste 106, Mesa, AZ 85204. The listed phone number is (480) 926-2350.

What is Mesa 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 Mesa Modern Dentistry, LLP accept?

Health plans from Ambetter from Arizona Complete Health list Mesa 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 Mesa Modern Dentistry, LLP was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.