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COSMETIC FAMILY DENTAL CLINIC PC
NPI 1770609000
Dentist in Mesa, AZ

Active since March 21, 2007
1236 E BASELINE RD, #103, MESA, AZ 85204(480) 503-3600(480) 503-3601 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cosmetic Family Dental Clinic Pc NPPES

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

COSMETIC FAMILY DENTAL CLINIC PC (NPI 1770609000) is a healthcare organization registered as a dentist in Mesa, Arizona and active in the NPI registry since March 2007. The organization lists Nick Nam Huynh, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1770609000
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOSMETIC FAMILY DENTAL CLINIC PC
Location Address1236 E BASELINE RD, #103Mesa, AZ 85204-6705
Mailing Address1236 E Baseline Rd, #103Mesa, AZ 85204-6705 · (480) 503-3600 · Fax (480) 503-3601
Phone(480) 503-3600
Fax(480) 503-3601
Organization SubpartNo
Authorized OfficialNick Nam HuynhOwner Dentist · (480) 503-3600
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770609000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 5118
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1236 E BASELINE RD, Mesa, AZ 85204
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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 Cosmetic Family Dental Clinic PC's NPI number?

The NPI number for Cosmetic Family Dental Clinic PC is 1770609000. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Cosmetic Family Dental Clinic PC located?

Cosmetic Family Dental Clinic PC is located at 1236 E Baseline Rd #103, Mesa, AZ 85204. The listed phone number is (480) 503-3600.

What is Cosmetic Family Dental Clinic PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Cosmetic Family Dental Clinic PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.