Organization · Type 2 NPI

Az Specialty Dental Services, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Peoria, AZ

NPI number 1053136663 Active

Practice location

10006 W Happy Valley Pkwy Ste 12
Peoria, AZ 85383-1235

Call (623) 486-3377 Map

Mailing address

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

Other practice locations

754 S Val Vista Dr Ste 107, Gilbert, AZ 85296-3158 · (480) 892-6200

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 Peoria

See all in Peoria →

NPI record

NPI: 1053136663
Entity type: Organization (Type 2)
Issued: Nov 19, 2024
Last updated: Nov 19, 2024
Status: Active
Subpart: Yes of Az Specialty Dental Services, LLC

Other names

Redstone Orthodontics · doing business as

Authorized official

Charlotte V Dasch
Director of Cred and Prov Rel
(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 1053136663

Az Specialty Dental Services, LLC's National Provider Identifier is 1053136663, issued on Nov 19, 2024. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Peoria, AZ. The record was last updated on Nov 19, 2024.