OrganizationActive
Cottonwood Kids Dental LLC
NPI 1073403911 · Dental Clinic/Center · Cottonwood, AZ
Cottonwood Kids Dental LLC is a Dental Clinic/Center organization in Cottonwood, AZ (NPI 1073403911).
Provider details
- NPI number
- 1073403911
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jordan Janis, Owner/Dentist(954) 557-7399
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2180 Az 89a
Cottonwood, AZ 86326
Phone: (954) 557-7399
Street-level locationGet directions
Mailing address
4208 E Roma Ave
Phoenix, AZ 85018-4251
Registry dates
- Enumerated
- 2025-07-03
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Cottonwood Kids Dental LLC's NPI number?
- Cottonwood Kids Dental LLC's National Provider Identifier (NPI) is 1073403911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cottonwood Kids Dental LLC?
- Cottonwood Kids Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cottonwood Kids Dental LLC located?
- Cottonwood Kids Dental LLC's practice location on file with NPPES is 2180 Az 89a, Cottonwood, AZ 86326.
- What is Cottonwood Kids Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Cottonwood Kids Dental LLC is (954) 557-7399.
- Who is the authorized official for Cottonwood Kids Dental LLC?
- The authorized official listed on Cottonwood Kids Dental LLC's NPPES record is Jordan Janis, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cottonwood Kids Dental LLC's NPI active?
- Yes — Cottonwood Kids Dental LLC's NPI (1073403911) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.