OrganizationActive
South Mesa Dental Partners
NPI 1053693531 · General Practice Dentistry · Mesa, AZ
Provider details
- NPI number
- 1053693531
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tad Olsen, Owner(480) 461-9866
- License
- D008299 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1130 S. Country Club Dr
Ste 101
Mesa, AZ 85210-4639
Phone: (480) 461-9866
Fax: (480) 461-9861
Street-level locationGet directions
Mailing address
1130 S. Country Club Dr
Mesa, AZ 85210-4639
Other names (DBA / former)
- Doing business as
- Comfort Dental West Mesa
- Doing business as
- South Mesa Dental Partners
Registry dates
- Enumerated
- 2011-09-12
- Last updated
- 2026-01-14
- Certified
- 2026-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.