OrganizationActive
South Town Dental Care, Inc.
NPI 1043776644 · Dental Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1043776644
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tim Wildung, Ceo / Treasurer(602) 391-4107
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10720 W Indian School Rd Ste 55
Phoenix, AZ 85037-5724
Phone: (623) 877-1729
Street-level locationGet directions
Mailing address
7205 E Southern Ave Ste A-122
Mesa, AZ 85209-2790
Other names (DBA / former)
- Doing business as
- Garden Lakes Family Dentistry
Registry dates
- Enumerated
- 2019-02-19
- Last updated
- 2019-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.