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COPPER STATE DENTISTRY LLC
NPI 1760264816
Dentist - General Practice in Gilbert, AZ

Active since October 13, 2023
857 E WARNER RD STE 103, GILBERT, AZ 85296(480) 690-5200 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Copper State Dentistry Llc NPPES

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

COPPER STATE DENTISTRY LLC (NPI 1760264816) is a healthcare organization registered as a general practice in Gilbert, Arizona and active in the NPI registry since October 2023. The organization lists Kyle Womeldorff, Owner, as its authorized official.

NPPES Registry Identity

NPI1760264816
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOPPER STATE DENTISTRY LLC
Location Address857 E WARNER RD STE 103Gilbert, AZ 85296-3076
Mailing Address14242 S 47th StPhoenix, AZ 85044-6205
Phone(480) 690-5200
Organization SubpartNo
Authorized OfficialKyle WomeldorffOwner · (480) 690-5200
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
✔ NPI 1760264816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
857 E WARNER RD STE 103, Gilbert, AZ 85296
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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

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.

STOTT FAMILY & COSMETIC DENTISTRY PLLC
Clinic/Center (Dental)
857 E WARNER RD STE 103
GILBERT, AZ 85296
Maricopa County (480) 821-4868
DR. RICHARD I ASHTON II DMD
Dentist (General Practice)
857 E WARNER RD STE 103
GILBERT, AZ 85296
Maricopa County (480) 821-4868
A PLUS FAMILY DENTAL SOLUTIONS, PLLC
Dentist (General Practice)
857 E WARNER RD STE 103
GILBERT, AZ 85296
Maricopa County (480) 821-4868

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 Copper State Dentistry LLC's NPI number?

The NPI number for Copper State Dentistry LLC is 1760264816. It was assigned to this organization in the NPPES registry on October 13, 2023.

Where is Copper State Dentistry LLC located?

Copper State Dentistry LLC is located at 857 E Warner Rd Ste 103, Gilbert, AZ 85296. The listed phone number is (480) 690-5200.

What is Copper State Dentistry LLC'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 Copper State Dentistry LLC was last updated on October 13, 2023. 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.