Organization · Type 2 NPI

South Mesa Dental Partners

General Practice Dentistry · Mesa, AZ

NPI number 1053693531 Active

Practice location

1130 S. Country Club Dr, Ste 101
Mesa, AZ 85210-4639

Fax (480) 461-9861

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	D008299 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Mesa

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NPI record

NPI: 1053693531
Entity type: Organization (Type 2)
Issued: Sep 12, 2011
Last updated: Jan 14, 2026
Status: Active

Other names

<unavail>
Comfort Dental West Mesa · doing business as
South Mesa Dental Partners · doing business as

Authorized official

Dr. Tad Brandon Olsen, DMD
Owner
(480) 461-9866

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About NPI 1053693531

South Mesa Dental Partners's National Provider Identifier is 1053693531, issued on Sep 12, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mesa, AZ. The record was last updated on Jan 14, 2026.