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.

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)

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

More AZ providers

Mailing address

7400 S Power Rd

Gilbert, AZ 85297

Specialties & taxonomies

Pediatric DentistryPrimary1223P0221XLicense 5179 (AZ)
Dental Providers

Other names (DBA / former)

Other name: A to Z Pediatric Dentistry

Profile Score

Detailed profile(90/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions