OrganizationActive
Lake Pleasant Dentistry PC
NPI 1093172561 · Dentist · Peoria, AZ
Lake Pleasant Dentistry PC is a Dentist organization in Peoria, AZ (NPI 1093172561).
Provider details
- NPI number
- 1093172561
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sharon Bader, Owner(623) 825-5595
- License
- D5241 (AZ)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
9059 W Lake Pleasant Pkwy
Ste F 600
Peoria, AZ 85382-8336
Phone: (623) 825-5595
Fax: (623) 825-5129
Street-level locationGet directions
Mailing address
9059 W Lake Pleasant Pkwy
Peoria, AZ 85382-8336
Registry dates
- Enumerated
- 2016-01-28
- Last updated
- 2016-01-28
Frequently asked questions
- What is Lake Pleasant Dentistry PC's NPI number?
- Lake Pleasant Dentistry PC's National Provider Identifier (NPI) is 1093172561, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Pleasant Dentistry PC?
- Lake Pleasant Dentistry PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lake Pleasant Dentistry PC located?
- Lake Pleasant Dentistry PC's practice location on file with NPPES is 9059 W Lake Pleasant Pkwy, Peoria, AZ 85382-8336.
- What is Lake Pleasant Dentistry PC's phone number?
- The practice phone number listed in the NPPES registry for Lake Pleasant Dentistry PC is (623) 825-5595.
- Who is the authorized official for Lake Pleasant Dentistry PC?
- The authorized official listed on Lake Pleasant Dentistry PC's NPPES record is Sharon Bader, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Pleasant Dentistry PC's NPI active?
- Yes — Lake Pleasant Dentistry PC's NPI (1093172561) is active in the NPPES registry as of the last update on 2016-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.