OrganizationActive
Surprise Pediatric Dentistry, PC
NPI 1114462330 · Dental Clinic/Center · Surprise, AZ
Surprise Pediatric Dentistry, PC is a Dental Clinic/Center organization in Surprise, AZ (NPI 1114462330).
Provider details
- NPI number
- 1114462330
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mathew Jensen, Dentist/Owner(801) 656-7978
- License
- D008930 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
15331 W Bell Rd
Suite #112
Surprise, AZ 85374-4102
Phone: (602) 730-6481
Fax: (602) 730-6482
Street-level locationGet directions
Mailing address
15331 W Bell Rd
Surprise, AZ 85374-4102
Registry dates
- Enumerated
- 2016-12-23
- Last updated
- 2016-12-23
Frequently asked questions
- What is Surprise Pediatric Dentistry, PC's NPI number?
- Surprise Pediatric Dentistry, PC's National Provider Identifier (NPI) is 1114462330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surprise Pediatric Dentistry, PC?
- Surprise Pediatric Dentistry, PC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surprise Pediatric Dentistry, PC located?
- Surprise Pediatric Dentistry, PC's practice location on file with NPPES is 15331 W Bell Rd, Surprise, AZ 85374-4102.
- What is Surprise Pediatric Dentistry, PC's phone number?
- The practice phone number listed in the NPPES registry for Surprise Pediatric Dentistry, PC is (602) 730-6481.
- Who is the authorized official for Surprise Pediatric Dentistry, PC?
- The authorized official listed on Surprise Pediatric Dentistry, PC's NPPES record is Mathew Jensen, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surprise Pediatric Dentistry, PC's NPI active?
- Yes — Surprise Pediatric Dentistry, PC's NPI (1114462330) is active in the NPPES registry as of the last update on 2016-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.