SUPER SMILES FOR KIDS, LLC
NPI 1750747150
Dentist - Pediatric Dentistry in Casa Grande, AZ

Active since January 14, 2016
1285 E SUNSET DR, CASA GRANDE, AZ 85122(520) 442-0332 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Jan 14, 2016 (2 updates tracked since 2016).

About Super Smiles For Kids, Llc NPPES

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

SUPER SMILES FOR KIDS, LLC (NPI 1750747150) is a healthcare organization registered as a pediatric dentistry in Casa Grande, Arizona and active in the NPI registry since January 2016. The organization maintains a secondary practice location in Maricopa and lists Dora Pesqueda, Director/ Member, as its authorized official.

NPPES Registry Identity

NPI1750747150
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSUPER SMILES FOR KIDS, LLC
Location Address1285 E SUNSET DRCasa Grande, AZ 85122-2942
Mailing Address1285 E Sunset DrCasa Grande, AZ 85122-2942 · (520) 442-0332
Organization SubpartNo
Authorized OfficialDora PesquedaDirector/ Member · (520) 442-0332
Enumeration DateJanuary 14, 2016
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1750747150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AZ · 07288
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.
1285 E SUNSET DR, Casa Grande, AZ 85122

Secondary Practice Location 1

Location 121116 N John Wayne Pkwy Ste B7Maricopa, AZ 85139-2932 · Phone (520) 568-1551 · Fax (520) 423-3912

Other Identifiers 1

Medicaid098601AZ

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

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.

Dental Hygienist
1285 E SUNSET DR
CASA GRANDE, AZ 85122
Dental Hygienist
1285 E SUNSET DR
CASA GRANDE, AZ 85122

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 Super Smiles For Kids, LLC's NPI number?

The NPI number for Super Smiles For Kids, LLC is 1750747150. It was assigned to this organization in the NPPES registry on January 14, 2016.

Where is Super Smiles For Kids, LLC located?

Super Smiles For Kids, LLC is located at 1285 E Sunset Dr, Casa Grande, AZ 85122. The listed phone number is (520) 442-0332.

What is Super Smiles For Kids, LLC's specialty?

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

What insurance does Super Smiles For Kids, LLC accept?

Health plans from UnitedHealthcare list Super Smiles For Kids, 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 Super Smiles For Kids, LLC was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.