OrganizationActive
Platinum Dental Spa PLLC
NPI 1124549191 · Dental Clinic/Center · Peoria, AZ
Provider details
- NPI number
- 1124549191
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Botar, Owner(623) 977-2551
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
13660 N 94th Dr Ste B1
Peoria, AZ 85381-4848
Phone: (623) 977-2551
Street-level locationGet directions
Mailing address
13660 N 94th Dr Ste B1
Peoria, AZ 85381-4848
Other names (DBA / former)
- Doing business as
- Modern Dentistry of Suncity
- Doing business as
- Modern Dentistry of Suncity
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.