Super Smiles Maricopa PLLC
Dentist, Pediatric Dentistry in Maricopa, AZ. Organization (NPI-2).
NPI number1891556502
StatusActive
Last updated in NPPESJan 19, 2024
Details
- NPI
- 1891556502
- Entity type
- Organization (NPI-2)
- Legal business name
- Super Smiles Maricopa PLLC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2024
- Certification date
- Jan 19, 2024
- Last updated
- Jan 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
Practice location
21116 N John Wayne Pkwy Ste B7Maricopa, AZ 85139-2932
Phone 520-568-3828 · Fax 520-568-0443
Mailing address
21116 N John Wayne Pkwy Ste B7Maricopa, AZ 85139-2932
Phone 520-568-3828 · Fax 520-568-0443
Authorized official
Nikita Kuppanda
DDS/ Owner
5205683828
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Other Pediatric Dentistry providers in Maricopa, AZ
- Az Specialty Dental Services, LLCNPI 1447090279
- Duane Cardon Clouse, D.D.S.NPI 1861484388
- Duance C. Clouse DDS PCNPI 1861699902
- Nikita KuppandaNPI 1649648668
- Jinal Patel, DMDNPI 1851966147
All 6 Pediatric Dentistry providers in Maricopa · All 825 providers in Maricopa
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