OrganizationActive
Modern Dental Professionals - Arizona PC
NPI 1063789816 · General Practice Dentistry · Mesa, AZ
Modern Dental Professionals - Arizona PC is a General Practice Dentistry organization in Mesa, AZ (NPI 1063789816).
Provider details
- NPI number
- 1063789816
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Roy Smith, President(714) 428-2000
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 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
1855 S Country Club Dr
Ste 101
Mesa, AZ 85210-6037
Phone: (714) 428-2000
Street-level locationGet directions
Mailing address
1855 S Country Club Dr
Mesa, AZ 85210-6037
Other names (DBA / former)
- Doing business as
- Brightnow Mesa Country Club Dr
Registry dates
- Enumerated
- 2011-11-22
- Last updated
- 2011-11-22
Frequently asked questions
- What is Modern Dental Professionals - Arizona PC's NPI number?
- Modern Dental Professionals - Arizona PC's National Provider Identifier (NPI) is 1063789816, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental Professionals - Arizona PC?
- Modern Dental Professionals - Arizona PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Modern Dental Professionals - Arizona PC located?
- Modern Dental Professionals - Arizona PC's practice location on file with NPPES is 1855 S Country Club Dr, Mesa, AZ 85210-6037.
- What is Modern Dental Professionals - Arizona PC's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental Professionals - Arizona PC is (714) 428-2000.
- Who is the authorized official for Modern Dental Professionals - Arizona PC?
- The authorized official listed on Modern Dental Professionals - Arizona PC's NPPES record is Roy Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental Professionals - Arizona PC's NPI active?
- Yes — Modern Dental Professionals - Arizona PC's NPI (1063789816) is active in the NPPES registry as of the last update on 2011-11-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.