Organization · Type 2 NPI

Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC

Pediatric Dentistry · Mesa, AZ

NPI number 1174380836 Active

Practice location

6239 E Brown Rd Ste 102
Mesa, AZ 85205-4933

Call (480) 753-3711 Map

Mailing address

2165 N Doran
Mesa, AZ 85203-2081

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None 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

Other pediatric dentistry providers in Mesa

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NPI record

NPI: 1174380836
Entity type: Organization (Type 2)
Issued: Feb 29, 2024
Last updated: May 28, 2024
Status: Active

Other names

<unavail>
Little Rebelz Pediatric Dentistry · doing business as
Little Rebelz Pediatric Dentistry · doing business as

Authorized official

Dr. Tyler Roberts, DMD
Dentist
(401) 536-5087

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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.

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About NPI 1174380836

Marana Pediatric Dentistry, Tyler Roberts, Dmd, PLLC's National Provider Identifier is 1174380836, issued on Feb 29, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on May 28, 2024.