Organization · Type 2 NPI

Az Specialty Dental Services, LLC

Pediatric Dentistry · Phoenix, AZ

NPI number 1639919475 Active

Practice location

4232 E Chandler Blvd Ste 10
Phoenix, AZ 85048-8879

Call (480) 759-1119 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry	1223X0400X	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.

3 other providers at this address

Other pediatric dentistry providers in Phoenix

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NPI record

NPI: 1639919475
Entity type: Organization (Type 2)
Issued: May 29, 2024
Last updated: May 29, 2024
Status: Active
Subpart: Yes of Az Specialty Dental Services, LLC

Other names

Jungle Roots Children's Dentistry and Orthodontics · doing business as

Authorized official

Charlotte Dasch
Director of Cred and PR
(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.

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About NPI 1639919475

Az Specialty Dental Services, LLC's National Provider Identifier is 1639919475, issued on May 29, 2024. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Phoenix, AZ. The record was last updated on May 29, 2024.