PASEO RANCH PEDIATRIC DENTISTRY AND ORTHODONTICS
NPI 1861012023
Clinic/Center - Dental in Glendale, AZ
About Paseo Ranch Pediatric Dentistry And Orthodontics NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PASEO RANCH PEDIATRIC DENTISTRY AND ORTHODONTICS (NPI 1861012023) is a healthcare organization registered as a dental in Glendale, Arizona and active in the NPI registry since April 2020. The organization lists Mathew Jensen, Dentist And Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, AZ 85306
GLENDALE, AZ 85306
GLENDALE, AZ 85306
GLENDALE, AZ 85306
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 Paseo Ranch Pediatric Dentistry And Orthodontics's NPI number?
The NPI number for Paseo Ranch Pediatric Dentistry And Orthodontics is 1861012023. It was assigned to this organization in the NPPES registry on April 17, 2020.
Where is Paseo Ranch Pediatric Dentistry And Orthodontics located?
Paseo Ranch Pediatric Dentistry And Orthodontics is located at 6677 W Thunderbird Rd Ste A124, Glendale, AZ 85306. The listed phone number is (623) 223-9677.
What is Paseo Ranch Pediatric Dentistry And Orthodontics's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Paseo Ranch Pediatric Dentistry And Orthodontics was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Paseo Ranch Pediatric Dentistry And Orthodontics · NPI 1861012023
Dental organization in Glendale, Arizona. Organization record, active in the CMS NPPES registry since April 17, 2020.
## Identity
- **NPI:** 1861012023 (Entity type: Organization)
- **Enumerated:** April 17, 2020
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Mathew Jensen, DENTIST AND OWNER
## Practice location
- **Address:** 6677 W THUNDERBIRD RD STE A124, Glendale, AZ 85306-3710
- **Phone:** (623) 223-9677
## Record status
- **NPPES last updated:** April 17, 2020
- **Other identifiers:** Medicaid 200173 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1861012023) · Data from the CMS NPPES public registry.