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SUMMIT DENTAL SPECIALTY PLLC
NPI 1871018887
Dentist - Endodontics in Phoenix, AZ

Active since August 10, 2017
15810 S 45TH ST STE 120, PHOENIX, AZ 85048(480) 893-3636(480) 893-3635 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Summit Dental Specialty Pllc NPPES

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

SUMMIT DENTAL SPECIALTY PLLC (NPI 1871018887) is a healthcare organization registered as an endodontics in Phoenix, Arizona and active in the NPI registry since August 2017. The organization lists Shiela Dominguez, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1871018887
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameSUMMIT DENTAL SPECIALTY PLLC
Location Address15810 S 45TH ST STE 120Phoenix, AZ 85048-7695
Mailing Address15810 S 45th St Ste 120Phoenix, AZ 85048-7695 · (480) 893-3636 · Fax (480) 893-3635
Phone(480) 893-3636
Fax(480) 893-3635
Organization SubpartNo
Authorized OfficialShiela DominguezManaging Member · (480) 669-6419
Enumeration DateAugust 10, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1871018887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in AZ · D9064
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X · License D06147 (AZ)
15810 S 45TH ST STE 120, Phoenix, AZ 85048
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

JOHN E. GILLIS D.M.D.
Dentist (General Practice)
15810 S 45TH ST STE 120
PHOENIX, AZ 85048
Maricopa County (480) 753-1300

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 Summit Dental Specialty PLLC's NPI number?

The NPI number for Summit Dental Specialty PLLC is 1871018887. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Summit Dental Specialty PLLC located?

Summit Dental Specialty PLLC is located at 15810 S 45th St Ste 120, Phoenix, AZ 85048. The listed phone number is (480) 893-3636.

What is Summit Dental Specialty PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Summit Dental Specialty PLLC accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Summit Dental Specialty PLLC 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 Summit Dental Specialty PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.