OrganizationActive
Dentistry for Children PLLC
NPI 1154540367 · Dentist · Mesa, AZ
Provider details
- NPI number
- 1154540367
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sharron Keene, Office Supervisor(480) 610-6544
- License
- 5589 (AZ)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1245 E Southern Ave
Ste 12
Mesa, AZ 85204-5137
Phone: (480) 610-6544
Fax: (480) 633-0670
Street-level locationGet directions
Mailing address
1245 E Southern Ave
Mesa, AZ 85204-5137
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.