Organization · Type 2 NPI

Southern Dental LLC

Dentist · Phoenix, AZ

NPI number 1952249195 Active

Practice location

3320 W Southern Ave Ste 111
Phoenix, AZ 85041-4307

Mailing address

3934 E Austin Dr
Gilbert, AZ 85296-0711

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
Public Health Dentistry 1223D0001XNone listed
Endodontics 1223E0200XNone listed
General Practice Dentistry 1223G0001XNone listed
Pediatric Dentistry 1223P0221XNone listed
Oral and Maxillofacial Surgery (Dentist) 1223S0112XNone 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 1952249195

Southern Dental LLC's National Provider Identifier is 1952249195, issued on Mar 21, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 21, 2026.