Organization · Type 2 NPI

Ultra Dental Mesa LLC

Dentist · Mesa, AZ

NPI number 1336072438 Active

Practice location

1116 S Stapley Dr Ste B108
Mesa, AZ 85204-5051

Mailing address

2938 E Robin Ln
Phoenix, AZ 85050-8420

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1336072438

Ultra Dental Mesa LLC's National Provider Identifier is 1336072438, issued on Jun 8, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 12, 2026.