Super Smiles 4 Kids Cg, PLLC
Dentist, General Practice in Casa Grande, AZ. Organization (NPI-2).
NPI number1144901547
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1144901547
- Entity type
- Organization (NPI-2)
- Legal business name
- Super Smiles 4 Kids Cg, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Super Smiles 4 Families (Doing Business As)
Practice location
1295 E Florence Blvd Ste 4Casa Grande, AZ 85122-4299
Phone 520-436-0843 · Fax 520-436-0105
Mailing address
1295 E Florence Blvd Ste 4Casa Grande, AZ 85122-4299
Phone 520-436-0843 · Fax 520-436-0105
Authorized official
Dora Pesqueda
Director Of Operations
5204360843
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Casa Grande, AZ
- Agave DentistryNPI 1790959435
- Ivey Daniell Agee Wainwright, D.D.SNPI 1316326929
- Lance Thomas Attiq, DMDNPI 1306732813
- Keya Boykin-Miller, DMDNPI 1447399795
- Casa Grande Dental And Orthodontics LLCNPI 1144970609
- Casa Grande Impressions II, LLCNPI 1851521918
- Tyson Archer Davis, DDSNPI 1770712820
- Desert Sky DentalNPI 1942347562
- Dr. Jeffrey D Mitchell LLCNPI 1760827760
- Shane DrewNPI 1225443336
All 36 General Practice Dentistry providers in Casa Grande · All 1,403 providers in Casa Grande
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.