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ABC PEDIATRIC DENTAL PROFESSIONAL CORPORATION
NPI 1710304654
Dentist - General Practice in Surprise, AZ

Active since March 27, 2014
16222 W BOCA RATON RD, SURPRISE, AZ 85379(801) 448-2346 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Abc Pediatric Dental Professional Corporation NPPES

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

ABC PEDIATRIC DENTAL PROFESSIONAL CORPORATION (NPI 1710304654) is a healthcare organization registered as a general practice in Surprise, Arizona and active in the NPI registry since March 2014. The organization lists Benjamin Menlove, President, as its authorized official.

NPPES Registry Identity

NPI1710304654
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameABC PEDIATRIC DENTAL PROFESSIONAL CORPORATION
Location Address16222 W BOCA RATON RDSurprise, AZ 85379-5073
Mailing Address4444 W Thomas RdPhoenix, AZ 85031-3728 · (801) 448-2346
Phone(801) 448-2346
Organization SubpartNo
Authorized OfficialBenjamin MenlovePresident · (801) 448-2346
Enumeration DateMarch 27, 2014
✔ NPI 1710304654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 6361
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.
16222 W BOCA RATON RD, Surprise, AZ 85379
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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

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 Abc Pediatric Dental Professional Corporation's NPI number?

The NPI number for Abc Pediatric Dental Professional Corporation is 1710304654. It was assigned to this organization in the NPPES registry on March 27, 2014.

Where is Abc Pediatric Dental Professional Corporation located?

Abc Pediatric Dental Professional Corporation is located at 16222 W Boca Raton Rd, Surprise, AZ 85379. The listed phone number is (801) 448-2346.

What is Abc Pediatric Dental Professional Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Abc Pediatric Dental Professional Corporation was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.