Organization · Type 2 NPI

Az SDS III LLC

Pediatric Dentistry · Mesa, AZ

NPI number 1669358347 Active

Practice location

3549 E Brown Rd Ste 102
Mesa, AZ 85213-5606

Call (480) 634-5686 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.

2 other providers at this address

Other pediatric dentistry providers in Mesa

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NPI record

NPI: 1669358347
Entity type: Organization (Type 2)
Issued: Aug 15, 2025
Last updated: Aug 15, 2025
Status: Active
Subpart: Yes of Az SDS III LLC

Other names

Amazing Kidz Pediatric Dentistry · doing business as

Authorized official

Charlotte V Dasch
SR Director of Credentialing
(504) 638-0303

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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 1669358347

Az SDS III LLC's National Provider Identifier is 1669358347, issued on Aug 15, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Mesa, AZ. The record was last updated on Aug 15, 2025.