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AZ SPECIALTY DENTAL SERVICES, LLC
NPI 1679313407
Dentist - Pediatric Dentistry in Mesa, AZ

Active since May 29, 2024
3549 E BROWN RD STE 102, MESA, AZ 85213(480) 634-5686 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Az Specialty Dental Services, Llc NPPES

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

AZ SPECIALTY DENTAL SERVICES, LLC (NPI 1679313407), 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 May 2024. The organization lists Charlotte Dasch, Director Of Cred And Pr, as its authorized official.

NPPES Registry Identity

NPI1679313407
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameAZ SPECIALTY DENTAL SERVICES, LLC
Location Address3549 E BROWN RD STE 102Mesa, AZ 85213-5606
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (615) 678-0759
Phone(480) 634-5686
Organization SubpartYes
Authorized OfficialCharlotte DaschDirector Of Cred And Pr · (504) 638-0303
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1679313407 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.
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 SDS III 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 Specialty Dental Services, LLC's NPI number?

The NPI number for Az Specialty Dental Services, LLC is 1679313407. It was assigned to this organization in the NPPES registry on May 29, 2024. The provider is doing business as Amazing Kidz Pediatric Dentistry.

Where is Az Specialty Dental Services, LLC located?

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

What is Az Specialty Dental Services, 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 Specialty Dental Services, LLC was last updated on May 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.