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STAN KIDTASTIC DENTAL LLC
NPI 1558902247
Dentist - Pediatric Dentistry in San Tan Valley, AZ

Active since October 03, 2019
2510 E HUNT HWY STE 29, SAN TAN VALLEY, AZ 85143(480) 457-4693 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stan Kidtastic Dental Llc NPPES

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

STAN KIDTASTIC DENTAL LLC (NPI 1558902247) is a healthcare organization registered as a pediatric dentistry in San Tan Valley, Arizona and active in the NPI registry since October 2019. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1558902247
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSTAN KIDTASTIC DENTAL LLC
Location Address2510 E HUNT HWY STE 29San Tan Valley, AZ 85143-5208
Mailing Address2510 E Hunt Hwy Ste 29San Tan Valley, AZ 85143-5208 · (480) 457-4693
Phone(480) 457-4693
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateOctober 3, 2019
✔ NPI 1558902247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
2510 E HUNT HWY STE 29, San Tan Valley, AZ 85143
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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 DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc., UnitedHealthcare.Insurance ›

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.

DR. TODD DAVID BUTLER D.D.S
Dentist (Pediatric Dentistry)
2510 E HUNT HWY STE 29
SAN TAN VALLEY, AZ 85143
Pinal County (480) 457-1693
SANTAN KIDTASTIC LLC
Dentist (Pediatric Dentistry)
2510 E HUNT HWY STE 29
SAN TAN VALLEY, AZ 85143
Pinal County (480) 648-4037
DR. BENJAMIN JOSEPH WACHTER D.M.D.
Dentist
2510 E HUNT HWY STE 29
QUEEN CREEK, AZ 85143
Pinal County (480) 582-0753

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 Stan Kidtastic Dental LLC's NPI number?

The NPI number for Stan Kidtastic Dental LLC is 1558902247. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Stan Kidtastic Dental LLC located?

Stan Kidtastic Dental LLC is located at 2510 E Hunt Hwy Ste 29, San Tan Valley, AZ 85143. The listed phone number is (480) 457-4693.

What is Stan Kidtastic Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Stan Kidtastic Dental LLC accept?

Health plans from DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Stan Kidtastic Dental 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 Stan Kidtastic Dental LLC was last updated on October 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.