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MESA KIDTASTIC DENTAL LLC
NPI 1942841663
Dentist - Pediatric Dentistry in Mesa, AZ

Active since October 03, 2019
1240 W SOUTHERN AVE STE 112, MESA, AZ 85202(403) 733-5437 Get Directions Write a Review

NPPES record last updated: October 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mesa Kidtastic Dental Llc NPPES

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

MESA KIDTASTIC DENTAL LLC (NPI 1942841663) is a healthcare organization registered as a pediatric dentistry in Mesa, Arizona and active in the NPI registry since October 2019. The organization lists Faith Gaskins, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1942841663
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMESA KIDTASTIC DENTAL LLC
Location Address1240 W SOUTHERN AVE STE 112Mesa, AZ 85202-4882
Mailing Address1240 W Southern Ave Ste 112Mesa, AZ 85202-4882 · (403) 733-5437
Phone(403) 733-5437
Organization SubpartNo
Authorized OfficialFaith GaskinsDirector Of Credentialing · (972) 869-3789
Enumeration DateOctober 3, 2019
✔ NPI 1942841663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
1240 W SOUTHERN AVE STE 112, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and more.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.

DR. KYLE FRANKLIN DDS
Dentist
1240 W SOUTHERN AVE STE 112
MESA, AZ 85202
Maricopa County (480) 733-5437

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 Mesa Kidtastic Dental LLC's NPI number?

The NPI number for Mesa Kidtastic Dental LLC is 1942841663. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Mesa Kidtastic Dental LLC located?

Mesa Kidtastic Dental LLC is located at 1240 W Southern Ave Ste 112, Mesa, AZ 85202. The listed phone number is (403) 733-5437.

What is Mesa Kidtastic Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mesa Kidtastic Dental LLC accept?

Health plans from Ambetter from Arizona Complete Health, DentaQuest Insurance Company, Inc., Solstice Healthplans of Arizona, Inc. and UnitedHealthcare list Mesa Kidtastic Dental LLC 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 Mesa Kidtastic Dental LLC was last updated on October 3, 2019. 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.