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FIESTA KIDS DENTAL LLC
NPI 1770840951
Dentist - Pediatric Dentistry in Mesa, AZ

Active since April 12, 2012
1303 S LONGMORE, SUITE #1, MESA, AZ 85202(480) 733-5437(480) 733-4164 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fiesta Kids Dental Llc NPPES

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

FIESTA KIDS DENTAL LLC (NPI 1770840951) is a healthcare organization registered as a pediatric dentistry in Mesa, Arizona and active in the NPI registry since April 2012. The organization lists Stephen J Montoya, Owner, as its authorized official.

NPPES Registry Identity

NPI1770840951
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFIESTA KIDS DENTAL LLC
Location Address1303 S LONGMORE, SUITE #1Mesa, AZ 85202-9607
Mailing Address1303 S Longmore, Suite #1Mesa, AZ 85202-9607 · (480) 733-5437 · Fax (480) 733-4164
Phone(480) 733-5437
Fax(480) 733-4164
Organization SubpartNo
Authorized OfficialStephen J MontoyaOwner · (480) 733-5437
Enumeration DateApril 12, 2012
✔ NPI 1770840951 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 · 7384
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.
1303 S LONGMORE, Mesa, AZ 85202
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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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIANNA ALEXIS ESTRADA
Behavior Technician
1303 S LONGMORE
MESA, AZ 85202
Maricopa County (480) 712-5181
MAEGAN KRISTINE REYNOLDS
Behavior Technician
1303 S LONGMORE
MESA, AZ 85202
Maricopa County (887) 650-1115
LOGAN XAVIER NUNN
Behavior Technician
1303 S LONGMORE
MESA, AZ 85202
Maricopa County (602) 881-0608
CLINT BENNION DC
Chiropractor
1303 S LONGMORE, SUITE #8
MESA, AZ 85202
Maricopa County (480) 649-5297
ZINIA DANYELLE CHAPPELL
Behavior Technician
1303 S LONGMORE
MESA, AZ 85202
Maricopa County (480) 712-5181
MR. THOMAS C. CHENEY O.D.
Optometrist
1303 S LONGMORE, SUITES 2 AND 3
MESA, AZ 85202
Maricopa County (480) 969-1991
DR. BRETT ALLEN BUTLER D.C.
Chiropractor
1303 S LONGMORE, SUITE #8
MESA, AZ 85202
Maricopa County (480) 649-5297
LITZY MEDINA
Behavior Technician
1303 S LONGMORE
MESA, AZ 85202
Maricopa County (480) 712-5158

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 Fiesta Kids Dental LLC's NPI number?

The NPI number for Fiesta Kids Dental LLC is 1770840951. It was assigned to this organization in the NPPES registry on April 12, 2012.

Where is Fiesta Kids Dental LLC located?

Fiesta Kids Dental LLC is located at 1303 S Longmore Suite #1, Mesa, AZ 85202. The listed phone number is (480) 733-5437.

What is Fiesta Kids Dental 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 Fiesta Kids Dental LLC was last updated on April 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.