LEO J WIRTH DDS PC
NPI 1902897580
Dental Hygienist in Mesa, AZ

Active since November 02, 2005
1150 N COUNTRY CLUB DR, STE 11, MESA, AZ 85201(480) 964-3124(480) 964-9252 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Leo J Wirth Dds Pc NPPES

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

LEO J WIRTH DDS PC (NPI 1902897580) is a healthcare organization registered as a dental hygienist in Mesa, Arizona and active in the NPI registry since November 2005. The organization lists Duane L Wirth, Dentist, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1902897580
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameLEO J WIRTH DDS PC
Location Address1150 N COUNTRY CLUB DR, STE 11Mesa, AZ 85201-2537
Mailing Address1150 N Country Club Dr, Ste 11Mesa, AZ 85201-2537 · (480) 964-3124 · Fax (480) 964-9252
Fax(480) 964-9252
Organization SubpartNo
Authorized OfficialDuane L WirthDentist · (480) 964-3124
Enumeration DateNovember 2, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1902897580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
Licenses Licensed in AZ · H0657 Licensed in AZ · H0936
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 2827 (AZ)

Other Names 1

Other NameDuane L Wirth Dds

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

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
1150 N COUNTRY CLUB DR, SUITE # 7
MESA, AZ 85201
Counselor (Professional)
1150 N COUNTRY CLUB DR, SUITE #6
MESA, AZ 85201
Dermatology
1150 N COUNTRY CLUB DR, SUITE 6
MESA, AZ 85201
Social Worker (Clinical)
1150 N COUNTRY CLUB DR, SUITE 10
MESA, AZ 85201
Clinic/Center (Dental)
1150 N COUNTRY CLUB DR, SUITE 4
MESA, AZ 85201
Dentist
1150 N COUNTRY CLUB DR, SUITE # 7
MESA, AZ 85201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902897580, enumerated as an "organization" on November 02, 2005.

The provider is located at 1150 N COUNTRY CLUB DR STE 11 MESA, AZ 85201 and the phone number is (480) 964-3124.

Dental Hygienist with taxonomy code 124Q00000X.