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Az Sds III LLC — NPI 1043196728, Phoenix, AZ | NPI Central

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NPI 1043196728

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Az Sds III LLC

NPI 1043196728 · Pediatric Dentistry · Phoenix, AZ

Provider details

NPI number: 1043196728
Entity type: Organization
Primary specialty: Pediatric DentistryDental Providers
Parent organization: Az Sds III LLC
Organization subpart: Yes
Authorized official: Charlotte Dasch, Sr. Director of Credentialing(504) 638-0303

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221X
Dental Providers
Orthodontics and Dentofacial Orthopedics Dentistry1223X0400X
Dental Providers

Practice location

4232 E Chandler Blvd Ste 10

Phoenix, AZ 85048-8879

Phone: (480) 759-1119

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

1610 54th Ave N Ste 205

Nashville, TN 37209-1442

Other names (DBA / former)

Doing business as: Jungle Roots Children'S Dentistry and Orthodontics

Registry dates

Enumerated: 2025-08-15
Last updated: 2025-08-15
Certified: 2025-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.