Organization · Type 2 NPI

My Pediatric Dentist PLLC

Pediatric Dentistry · Mesa, AZ

NPI number 1063374593 Active

Practice location

5215 E Southern Ave
Mesa, AZ 85206-2777

Call (480) 833-2232 Map

Mailing address

2045 S Vineyard Ste 153
Mesa, AZ 85210-6892

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1063374593

My Pediatric Dentist PLLC's National Provider Identifier is 1063374593, issued on Dec 2, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on Dec 2, 2025.