DENTISTS OF MESA
NPI 1538725387
Dentist in Mesa, AZ

Active since May 17, 2019CLIA 03D2257099 · Waiver
4401 E MCKELLIPS RD STE 102, MESA, AZ 85215(480) 550-8204(480) 210-6800 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dentists Of Mesa NPPES

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

DENTISTS OF MESA (NPI 1538725387) is a healthcare organization registered as a dentist in Mesa, Arizona and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through March 30, 2028 and lists Robert J Seymour, Owner, as its authorized official.

NPPES Registry Identity

NPI1538725387
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTISTS OF MESA, LLP
Location Address4401 E MCKELLIPS RD STE 102Mesa, AZ 85215-2558
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Fax(480) 210-6800
Organization SubpartNo
Authorized OfficialRobert J SeymourOwner · (480) 550-8204
Enumeration DateMay 17, 2019
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
NPI 1538725387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
4401 E MCKELLIPS RD STE 102, Mesa, AZ 85215

Other Names 1

Doing Business AsDentists Of Mesa

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2257099

Dentists Of Mesa · Mesa, AZ
Active · expires Mar 30, 2028
CLIA Number03D2257099
Laboratory TypePractitioner Other
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorLily Chen
Laboratory Phone(480) 550-8204
Laboratory LocationDentists Of Mesa4401 E Mckellips Rd Ste 102, Mesa, AZ 85215
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
4401 E MCKELLIPS RD STE 102
MESA, AZ 85215

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 Dentists Of Mesa, LLP's NPI number?

The NPI number for Dentists Of Mesa, LLP is 1538725387. It was assigned to this organization in the NPPES registry on May 17, 2019. The provider is doing business as Dentists Of Mesa.

Where is Dentists Of Mesa, LLP located?

Dentists Of Mesa, LLP is located at 4401 E Mckellips Rd Ste 102, Mesa, AZ 85215. The listed phone number is (480) 550-8204.

What is Dentists Of Mesa, LLP's specialty?

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

Does Dentists Of Mesa, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2257099) is associated with this NPI, valid through March 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dentists Of Mesa, LLP accept?

Health plans from Ambetter from Arizona Complete Health list Dentists Of Mesa, 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 Dentists Of Mesa, LLP was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.