Dentistry For Children PLLC
Dentist in Mesa, AZ. Organization (NPI-2).
NPI number1154540367
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1154540367
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentistry For Children PLLC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5678 | AZ | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | 5589 | AZ |
Practice location
1245 E Southern AveSte 12
Mesa, AZ 85204-5137
Phone 480-610-6544 · Fax 480-633-0670
Mailing address
1245 E Southern AveSte 12
Mesa, AZ 85204-5137
Phone 480-610-6544 · Fax 480-633-0670
Authorized official
Sharron Keene
Office Supervisor
4806106544
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