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AZ SDS III LLC
NPI 1669358347
Dentist - Pediatric Dentistry in Mesa, AZ

Active since August 15, 2025
3549 E BROWN RD STE 102, MESA, AZ 85213(480) 634-5686 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Az Sds Iii Llc NPPES

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

AZ SDS III LLC (NPI 1669358347), doing business as Amazing Kidz Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Mesa, Arizona and active in the NPI registry since August 2025. The organization lists Charlotte V Dasch, Sr Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1669358347
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAZ SDS III LLC
Location Address3549 E BROWN RD STE 102Mesa, AZ 85213-5606
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(480) 634-5686
Organization SubpartYes
Authorized OfficialCharlotte V DaschSr Director Of Credentialing · (504) 638-0303
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1669358347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
3549 E BROWN RD STE 102, Mesa, AZ 85213
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Other Names 1

Doing Business AsAmazing Kidz Pediatric 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

Other Providers at the Same Location NPPES 2

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

DR. LAWRENCE SHULTS D.D.S. MSD
Dentist (Pediatric Dentistry)
3549 E BROWN RD STE 102
MESA, AZ 85213
Maricopa County (480) 634-5686
AZ SPECIALTY DENTAL SERVICES, LLC
Dentist (Pediatric Dentistry)
3549 E BROWN RD STE 102
MESA, AZ 85213
Maricopa County (480) 634-5686

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 Az Sds III LLC's NPI number?

The NPI number for Az Sds III LLC is 1669358347. It was assigned to this organization in the NPPES registry on August 15, 2025. The provider is doing business as Amazing Kidz Pediatric Dentistry.

Where is Az Sds III LLC located?

Az Sds III LLC is located at 3549 E Brown Rd Ste 102, Mesa, AZ 85213. The listed phone number is (480) 634-5686.

What is Az Sds III LLC'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 Az Sds III LLC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.