OrganizationActive
Queen Creek Pediatric Dentistry LLC
NPI 1063618916 · Pediatric Dentistry · Gilbert, AZ
Queen Creek Pediatric Dentistry LLC is a Pediatric Dentistry organization in Gilbert, AZ (NPI 1063618916).
Provider details
- NPI number
- 1063618916
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joel Clark, Dentist(480) 503-3764
- License
- 5179 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7400 S Power Rd
Bldg 6, Ste 132
Gilbert, AZ 85297
Phone: (480) 503-3764
Fax: (480) 380-0336
Approximate (ZIP-level) locationGet directions
Mailing address
7400 S Power Rd
Gilbert, AZ 85297
Other names (DBA / former)
- Other name
- A to Z Pediatric Dentistry
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Queen Creek Pediatric Dentistry LLC's NPI number?
- Queen Creek Pediatric Dentistry LLC's National Provider Identifier (NPI) is 1063618916, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queen Creek Pediatric Dentistry LLC?
- Queen Creek Pediatric Dentistry LLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Queen Creek Pediatric Dentistry LLC located?
- Queen Creek Pediatric Dentistry LLC's practice location on file with NPPES is 7400 S Power Rd, Gilbert, AZ 85297.
- What is Queen Creek Pediatric Dentistry LLC's phone number?
- The practice phone number listed in the NPPES registry for Queen Creek Pediatric Dentistry LLC is (480) 503-3764.
- Who is the authorized official for Queen Creek Pediatric Dentistry LLC?
- The authorized official listed on Queen Creek Pediatric Dentistry LLC's NPPES record is Joel Clark, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queen Creek Pediatric Dentistry LLC's NPI active?
- Yes — Queen Creek Pediatric Dentistry LLC's NPI (1063618916) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.