Individual provider · Type 1 NPI
Tina Ptacek, DMD
Pediatric Dentistry · Surprise, AZ
NPI number
1649403775
Active
Practice location
15180 N Cotton Ln Ste 104
Surprise, AZ 85388-7000
Mailing address
23219 N Del Monte Dr
Sun City West, AZ 85375-2372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 32491 (TX) |
| Pediatric Dentistry Primary | 1223P0221X | D7818 (AZ) |
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.
Another provider at this address
Other pediatric dentistry providers in Surprise
About NPI 1649403775
Tina Ptacek, DMD's National Provider Identifier is 1649403775, issued on Aug 24, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Surprise, AZ. The record was last updated on Jun 3, 2020.