OrganizationActive
Dental Specialty Group Inc
NPI 1063005049 · Periodontics · Mesa, AZ
Dental Specialty Group Inc is a Periodontics organization in Mesa, AZ (NPI 1063005049).
Provider details
- NPI number
- 1063005049
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Bennett Mankin, President(480) 239-2088
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4435 E Broadway Rd Ste 7
Mesa, AZ 85206-2012
Phone: (480) 471-8480
Fax: (480) 654-0705
Street-level locationGet directions
Mailing address
3658 E Morrison Ranch Pkwy
Gilbert, AZ 85296-1816
Registry dates
- Enumerated
- 2021-02-19
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Dental Specialty Group Inc's NPI number?
- Dental Specialty Group Inc's National Provider Identifier (NPI) is 1063005049, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Specialty Group Inc?
- Dental Specialty Group Inc is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Dental Specialty Group Inc located?
- Dental Specialty Group Inc's practice location on file with NPPES is 4435 E Broadway Rd Ste 7, Mesa, AZ 85206-2012.
- What is Dental Specialty Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Dental Specialty Group Inc is (480) 471-8480.
- Who is the authorized official for Dental Specialty Group Inc?
- The authorized official listed on Dental Specialty Group Inc's NPPES record is Bennett Mankin, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Specialty Group Inc's NPI active?
- Yes — Dental Specialty Group Inc's NPI (1063005049) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.