Organization · Type 2 NPI

Az Specialty Dental Services, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Anthem, AZ

NPI number 1013757848 Active

Practice location

41930 N Venture Dr Ste 140
Anthem, AZ 85086-3859

Call (623) 551-2992 Map

Mailing address

1610 54th Ave N Ste 205
Nashville, TN 37209-1442

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

Other orthodontics and dentofacial orthopedics dentistry providers in Anthem

See all in Anthem →

NPI record

NPI: 1013757848
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Az Specialty Dental Services, LLC

Other names

Sheppard Pediatric Dentistry · doing business as

Authorized official

Charlotte V Dasch
Direc of Cred and PR
(504) 638-0303

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013757848

Az Specialty Dental Services, LLC's National Provider Identifier is 1013757848, issued on May 29, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Anthem, AZ. The record was last updated on May 29, 2024.